Comparison of endoscopic Vs microscopic ossiculoplasty; a study of 157 consecutive cases

1) Results of ossiculoplasty via trans-canal endoscopic (TEES) route is comparable to that of the traditional microscopic approach 2) There was no difference in complications or secondary outcomes such as tympanic membrane residual perforation or ear discharge between these groups 3) Both groups achieved an air-bone gap of less that 20dB in more than 70% of the cases 4) In our experience there was no difference in outcomes based on ossiculoplasty material such as cartilage, titanium prosthesis or autologous grafts such as incus. 5) Eroded stapes superstructure is does not preclude getting improvements in ABG of less than 20dB, but larger studies with longer follow ups might be useful.