The goal of a tympanoplasty is to eliminate disease and restore the anatomy and function. Endoscopic cartilage tympanoplasty is now an established technique of middle ear surgery, with results comparable to microscope-assisted tympanoplasty. A retrospective analysis of 61 cases of endoscopic cartilage tympanoplasty comparing the hearing outcomes with pre- and post-op pure tone audiometry was done. The mean pre-operative PTA was 45.88dB (SD 13.52), and the mean postoperative PTA was 35.77 dB (SD 16.42). The AB gap improved by 10dB on average. Average hearing gain on comparing tragal cartilage and temporalis fascia are comparable. Tragal cartilage used for tympanoplasty is robust, easy to fashion, resists absorption, and has low extrusion rates.

Dr. Hemanth Vamanshankar (MBBS, DLO, DNB-ENT, MRCS-ENT, MNAMS) completed his education in India and has an MRCS-ENT award from the Royal College of Surgeons, Edinburgh. He is presently working as a Specialist ENT at Al Hilal Multispeciality Hospital, Bahrain. He has to his credit 25 national and international publications and is the author of the book- ‘CSF RHINORRHOEA- Management and Practice’.