Endoscopic transcanal myringoplasty for anterior tympanic membrane perforation.

Anterior tympanic membrane perforations constitute a surgical challenge because of the anatomy of the anterior wall of the external auditory canal and the specific physical properties of the anterior tympanic membrane. The author reports an endoscopic transcanal myringoplasty technique with anterior fixation of the graft onto the anterior wall of the external auditory canal, avoiding canaloplasty in the majority of cases, detachment of the annulus in the anterior angle and medialization of the graft in the middle ear.