Microscopic Versus Endoscopic Tympanoplasty

Inclusion Criteria: * Inactive chronic tubotympanic otitis media (dry ear: no otorrhea without medication for at least 1 month). * Patients with age 15-45 years old in both sexes. * Patients with pure conductive hearing loss. unhealed tympanic membrane perforation for \>3 months. * Patients who are willing to give consent for the study. Exclusion Criteria: * Deeper lesions (Attico-antral disease, ossiculopathy, atelectasis, cholesteatoma, etc.), if suspected, on computed tomography scan. * Patients below 15 years old, and more than 45 years old. * Previous tympanoplasty, or other ear surgery. * Sensori- neural hearing loss. * Discharging ear. * Narrow obvious narrowing of the EAC or syndromes that affect the middle ear (e.g., Down syndrome). 7) Comorbid systemic diseases like diabetes or any chronic specific infection.