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

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.