Fig. 2
From: Congenital aural atresia surgery: anterior mastoid and transmastoid approaches
The right ear (A, B, C, D, E, F, G) shows the steps of anterior mastoid approach for aural atresia repair. A Drilling through atelectatic plate marked anteriorly by TMJ, superiorly by dural plate. B Freeing the malleo-incudal fold from the atelectatic plate. C After complete drilling of the atelectatic plate, head of malleus, incus, stapes, stapedial tendon, and the facial nerve; all these structures are clear. D Temporalies fascia graft over the ossicles. E TERSCH graft over the fascia then gelfoam. F TERSCH graft sutured to the skin of the auricle. G Six-month postoperative show intact tympanic membrane, wide external auditory canal