How I do it? Endoscopic modified inlay butterfly cartilage perichondrium myringoplasty

Though the microscope has helped a lot in otological surgical procedure but it has same optical properties for the last three decades.1 Thus, it has its own limitation as it provides a magnified image along a straight line (Fig 1).2 Meanwhile, the introduction of endoscope in other area of medical field also finds its role in ear surgery. Since, the endoscopes have better optics and magnification with wide angle of view (Fig 2) due to angled lenses and provide the excellent resolution of image. This advantageous factor increases its role in surgeries having many difficult anatomic nooks and corners.3 The diagnostic and teaching role of endoscope in otological practice has already been proved. Apart from that, there are lots of other advantages of endoscope in otological surgeries like; antero-inferior recess of external auditory canal, middle ear cavity and difficult areas to visualize under microspore like sinus tympani can be well visualized.4,5.