Endoscopic single versus double flap tympanoplasty: a randomized clinical trial.

Objective: This study aims to compare the results of endoscopic over-underlay tympanoplasty, single flap technique, with endoscopic over-underlay tympanoplasty combined with an anterior tab, double flap technique, in repair of the challenging total and subtotal tympanic membrane perforations with inadequate anterior remnant. This is to determine whether highly adequate visualization at the anterior meatal angle area offered by endoscopy can eliminate the need for anterior tab reinforcement.

Subjects And Methods: A prospective randomized single-blinded study involving 104 patients with total or subtotal tympanic membrane perforations was conducted.