2021 AMI Online Salon

Tragal Flap for Repair of an EAC Tumor

Project Details

  • Entrant Name:  Jill Gregory
  • Client: Mark Urken, MD
  • Copyright: Mount Sinai Health System, 2021
  • Medium/software used: Adobe Photoshop and Illustrator
  • Final presentation format: Surgical Journal
  • Primary Audience: ENT Surgeons

Project Description

This illustration was created to accompany a case report manuscript, describing the repair of a tumor of the external auditory canal (EAC). This patient had a tumor that encompassed the entire circumference of the EAC. The surgical innovation described in the paper was the use of facial skin anterior to the ear to repair the anterior half of the EAC. The illustration depicts the tumor and incision lines (A); removal of the tragal cartilage (B); rotation of the tragal flap into the EAC (C) and final repair appearance which includes a skin graft to repair the posterior EAC  and conchal bowl (D). An otoscopic post-op view is included to show how the tragal flap, skin graft, and tympanic membrane (TM) relate to each other within the EAC.