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.