Introducton: Otological surgery has progressed rapidly over the past century. With the recent introducton of the 3-chip camera system and high defniton video systems, endoscopes now provide ultra high resoluton images of the middle ear that were never seen previously. We conducted this study to compare the efcacy of endoscopic tympanoplasty over microscopic tympanoplasty in terms of graf uptake, hearing improvement, pain score and post-auricular hypoesthesia. Methods: The present study is a prospectve observatonal study, conducted over a period of 2 years in a tertary care centre. Results: Endoscopic tympanoplasty can be a beter alternatve over microscopic tympanoplasty due to its various advantages. Conclusion: Endoscopic ear surgery provides a beter magnifcaton, wide feld view, and the ability to look around corners without major complicatons. Further, Trans canal endoscopic ear surgery (TESS) approaches transform external auditory canal into a minimally invasive surgical portal to access middle ear disease.
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