Objective: The objective of this study was to describe the anatomy of the middle temporal artery (MTA) flap and its application in mastoid surgery.
Study design: A description of the anatomy and surgical technique.
Conclusion: The middle temporal flap is extremely useful in lining mastoid cavities, especially those in which poor healing is anticipated. It is available in most cases and is easily harvested and inset. It is particularly useful in revision cases, if present.