INTRODUCTION
Since the 1950’s microscopes have become the standard technique for central perforation closure and had revolutionized the outcome of the surgery. With time, it was realized that with microscopes it was difficult to operate in case of anterior bony overhang. It was not possible to look into every nook and corners of the middle ear; the anterior tucking was difficult in a very thin anterior remnant. The only advantage the microscope has is that one can use two hands for better control during graft manoeuvre. Endoscopes have fared better in terms of visualisation but for better control with a single hand one needs practice and follow some important technical improvisation specially for the residents.