Objective
Chronic otitis media with anterior perforation is a challenging condition to treat with a microscope especially if the canal is narrow or has overhang. The endoscope provides the advantage of wide-angle view and transcanal access avoiding postaural approach and canaloplasty. The aim of this study was to compare the anatomical, functional outcomes, and surgical duration between endoscopic and microscopic type I tympanoplasty performed for anterior perforation