The Mastoid Periosteum
auricular incision is used to provide exposure to the ear canal and eardrum
for surgical closure of an eardrum perforation. This approach is
especially helpful in anterior perforations, since it gives better surgical
visualization of the anterior eardrum. Temporalis Fascia can also be
harvested through this incision.
Post-Auricular Approach &
Harvesting of Temporalis Fascial Graft
#1: The ear canal and post-auricular area
are injected with 1% Xylocaine with Epinephrine for anesthesia and hemostatsis (to reduce
#2: A post-auricular incision is made, down to mastoid periosteum
inferiorly and through the skin superiorly.
#3: The temporalis muscle and fascia are exposed.
#4: The mastoid periosteum is incised along the lower border of the
#5: The periosteum over the anterior mastoid tip is elevated
#6: The temoralis fascial graft is harvested.
#7: The middle ear is entered.
#8: After the operation is performed, the external auditory canal is
packed with gauze and the post-auricular incision is closed.