Endoscopic push through tragal cartilage tympanoplasty: A 10-year retrospective review of our technique and outcomes

Figure 1 Schematic diagram of Endoscopic Push Through Tragal Cartilage Tympanoplasty. A: Anterior tympanic membrane perforation; B: Usage of a 6-mm punch biopsy for autologous tragal cartilage graft harvest; C: Harvesting of graft prior to preparation; D: Usage of Kurtz knife to thin the graft to appropriate thickness; E: Placement of Gelfoam^© into the middle ear for stability and graft support; F: Cartilage graft after placement medial to the tympanic membrane for closure.