Abstract
Trans-canal endoscopic ear surgery (TEES) is a relatively new concept, but endoscopes have been used previously as an adjunct to microsurgery (MEES) in patients with cholesteatoma (1). TEES has the added benefit of reduced morbidity and increased likelihood that the patients will tolerate the procedure as a day-case, but this can variate according to local practise and protocols. It also allows for close inspection of "hidden" areas such as sinus tympani with angled scopes.
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