To perform surgery with a minimally invasive procedure is preferred during daily practices. With the endoscope development in otology, a direct view of ossicles or lesions in the tympanic cavity without disturbing the mastoid becomes possible. Accompanied by a growing number of endoscopic surgeries, the complications were more commonly seen due to certain drawbacks, like single-hand practices and loss of three-dimensional images[1]. Rarely, to our knowledge, dislocated stapes protrudes into the vestibule cavity during endoscopic surgery, which results in profound hearing loss and vertigo.