Utilizing Tragusotomy to Optimize External Auditory Meatus Access for Mohs Micrographic Surgery: A Novel Approach

How We Do It: Cartilage Releasing Incisions for Mohs Micrographic Surgery on Difficult-to-Access Tumors of the External Ear

“…A tragusotomy incision improves access to the cavum and EAC, as previously described by Twaij and colleagues. 5 We describe a modification in which a canalotomy incision is also performed through the EAC itself, further optimizing visibility for tumors encroaching on the auditory meatus. Furthermore, a helicotomy incision through the crus of the helix can be used in a similar manner to access tumors of the triangular fossa, cymba, and inferior crus of the antihelix; to the best of our knowledge, this technique has not been previously described in the literature.…”