Its advantages are that it can be harvested through same post aural or endaural
incision of tympanoplasty, available in sufficient amount, its basal metabolic rate and thickness have great resemblance with TM.5 However the drawbacks of fascia graft are high failure rate in atelectatic drum, retraction pocket, subtotal or total perforation and malfunctioning eustachian tube.
Surgery was performed using the endaural
approach in 58.33 % of the cases, and the retroauricular approach was used in 41.67 % of the cases.
A radial incision starting at 1 O'clock on right ear and 11 O'clock on left ear drawn laterally towards incisura terminalis a nd soft tissues retracted after adequate mastoid bone exposure: Endaural
extension was used for C2a (Posterior extension to the antrum and mastoid) lesions.
All procedures were performed using an endaural
incision for both temporalis fascia graft and tragal cartilage graft harvesting.
The TMJ is approached via an endaural
or pre-auricular incision, and the mandibular ramus is approached via a submandibular incision.
incision was used, and after entering the middle ear, usually a large cyst coming from a defect at the stapes footplate was discovered and excised.
Under blind nasotracheal anesthesia, an endaural
incision was used as described by Al-Kayat and Bramley .
The surgery was performed under general anesthesia, using a preauricular or endaural
access until arriving at the osteotomy, which was conducted with an ultrasound system (Piezotome2[R], Satelec Action).
The search criteria excluded "tympanoplasties" and "myringoplasties." Whilst these can be performed through postaural incisions the authors favour an endaural
incision for these procedures, and additionally the mastoid bone is usually preserved.
Surgical approaches were either transcanal or endaural
depending on the size of the external auditory meatus.
Similarly, with postaural approach, temporalis fascia graft can also be harvested with the same incision while in permeatal or endaural
approach, a separate incision is needed to take the same graft.