Endoscopes allow the target pathology to be addressed transcanally while limiting dissection or normal tissue done purely for exposure, resulting in the evolution of minimally invasive ear surgery and reduced morbidity. Endoscopy appears to have the potential to greatly reduce cholesteatoma recidivism rates when employed in chronic ear surgery. The use of endoscopes as a supplement can boost the surgeon's confidence in total cholesteatoma excision. Endoscopes lessen the need to reopen the mastoid during second-look surgery, aid in canal wall preservation, and even influence post-cholesteatoma follow-up practices by diverting more patients away from a scheduled second-look. Enhanced imaging technologies, in conjunction with the endoscope's exceptional optical qualities and unique equipment, provide new perspectives and possibilities in middle ear surgery.
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