Results 
The graft uptake in MT and ET was 81.8% and 91.3% respectively, statistically not significant. The mean operative time for MT and ET was 68.68±18.79 minutes and 61.24 ± 11.18 minutes respectively with statistically significant difference (p-0.003). Hearing outcomes were improved after the surgery within the groups. However, there was no significant difference in the hearing between the groups.
Conclusions The endoscopic tympanoplasty for anterior perforation provides superior visualization avoiding postaural incision and canaloplasty, with good graft closure rate, improved hearing. It also offers significantly faster completion of surgery than a microscope. Thus, with the endoscope, minimally invasive surgery can be performed.