Ear surgery without microscope; is it possible.

Our experience of endoscope usage in otological surgery is presented. We included 17 patients with secretory otitis media for grommet insertion, 49 cases of myringoplasties and 6 cases of ossiculoplasties operated between May 2005 and 2008. All the procedures were performed through transcanal route. The success rate regarding perforation closure was 91.5% and average air-bone gap improved from 22.24-12.28 db in myringoplasty group and from 27.5-13 db in ossiculoplasty group. Secretory changes subsided in 16 out of 17 patients in secretory otitis media group. Endoscopic surgery offers many advantages over microscopic surgery which have been discussed.