endoscopic push-through cartilage myringoplasty for anterior perforations

Introduction:the study aims to evaluate the anatomical and functional success rates of endoscopic push-through cartilage myringoplasty for anterior tympanic membrane (tm) perforations. materials and methods:thirty patients with tm perforations in the anterior quadrant underwent endoscopic push-through cartilage tympanoplasty and underwent prospective evaluation. the graft uptake rate and hearing gain were the outcomes evaluated.results:out of the 30 patients, 15 were male, and 15 were female. the mean age was 32.60 ± 13.66 years (from 18-60 years). the overall graft uptake rate was 90%, with failure observed in three cases. the mean preoperative air conduction threshold was 37.9 ± 5.83 db which improved to 27.66 ± 4.88 db at 16 weeks post-operation. the mean postoperative abg closure was 7.28 db with a p-value of 0.001 which was statistically significant.conclusions:endoscopic push-through cartilage myringoplasty is the least invasive, safe, simple, and advantageous for healing tm perforation and hearing restoration.