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Congenital Aural Atresia
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| 1. Computed tomography. Axial view. | 2. Well formed auricle. |
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| 3. Postauricular incision. Preparation of the mastoid cortex. | 4. The cribriform area of the mastoid cortex. |
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| 5. Collection of bone paste for occlusion of mastoid cells. | 6. Drilling starts in the cribriform area. |
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| 7. The attic becomes visible. | 8. Entrance to the attic. |
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| 9. Drilling away bone reveals the short crus of the incus (at the end of the needle). | 10. Drilling away the atretic plate reveals the body of the incus. |
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| 11. The fused malleus-incus complex. | 12. Creation of the external aperture of the new ear canal. |
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| 13. Large mastoid air cells are plugged with bone paste. | 14. Tympanoplasty with the use of temporal fascia. |
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| 15. Insertion of the split-thickness skin graft. | 16. The skin graft in its final position. |
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| 17. Insertion of a silastic button. | 18. Obliteration of the new ear canal with pieces of gelfoam. |
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| 19. The lateral edges of the skin graft are folded over the gelfoam packing. | 20. Suturing of the skin graft with the new aperture of the auricle. |
