# Comparison of endoscopic and microscopic techniques for tympanic membrane repair: A longitudinal study

## TL;DR

This study compares endoscopic and microscopic techniques for repairing ear drum perforations, finding endoscopic methods more effective and comfortable for patients.

## Contribution

The study provides longitudinal evidence showing endoscopic myringoplasty outperforms the microscopic approach in efficiency and patient outcomes.

## Key findings

- Endoscopic myringoplasty resulted in greater hearing improvement and shorter hospital stays.
- Endoscopic technique had fewer complications and higher patient satisfaction compared to microscopic methods.
- Graft success was slightly higher with endoscopic repair (93.3% vs. 86.7%).

## Abstract

Chronic tympanic membrane perforations remain a frequent cause of hearing loss, and the optimal surgical approach for repair continues
to be debated. This longitudinal comparative study evaluates graft success, hearing improvement, operative time, and complications
between microscopic and endoscopic myringoplasty. Among patients studied, the endoscopic technique yielded greater hearing gain, reduced
postoperative morbidity, and shorter hospital stay compared to the microscopic method. Although graft success was slightly higher in the
endoscopic group (93.3% vs. 86.7%), complications were markedly fewer. Overall, endoscopic myringoplasty demonstrated superior efficiency,
patient comfort, and satisfaction, supporting its advantage over the traditional microscopic approach.