Fermi M, Maccarrone F, Villari D, et al. - In this investigation involving 835 patients, researchers sought to evaluate the anatomical and functional outcomes of endoscopic transcanal tympanoplasty type I for tympanic membrane perforations. Participants in the study were patients who underwent tympanoplasty between January 2011 and January 2019. Patients with tympanic membrane perforation treated with a transcanal endoscopic tympanoplasty type 1 and a follow-up period longer than 6 months were reviewed retrospectively. Findings suggested that endoscopic tympanoplasty type I is a safe procedure with reasonable anatomic and audiologic outcomes. A higher rate of perforation closure and satisfactory hearing results are assured by tympanic membrane grafting with cartilage (or cartilage and perichondrium). Anterior eardrum perforations can be effectively and safely handled with transcanal endoscopic approach avoiding postauricular approach and canalplasty.