Objectives: We aimed to compare anatomical and functional outcomes between the modified endaural approach (modified from the classical endaural approach) and endoscopic and postauricular approaches. Methods: We included 86 patients who underwent type 1 tympanoplasty using three surgical approaches (i.e., endoscopic, postauricular, and modified endaural approaches). We compared the operation duration, complication rates, graft success rate, and preoperative and postoperative air-bone gap values between the approaches. Results: The operation duration was similar between the endoscopic and modified endaural approaches, and was shorter compared to the post-auricular approach. No difference was observed in the graft success rate or hearing function between the groups. Conclusions: The modified endaural approach is associated with a shorter operation duration, fewer incisions, and satisfactory anatomical and functional outcomes. We recommend that this approach be used for patients with posterior tympanic membrane perforation, and for those who require mastoidectomy or have a narrow external auditory canal opening.
Corresponding Author: Tarik Yagci