Endoscopic Transcanal Myringoplasty: A Comparative Analysis of Graft Uptake and Hearing Outcomes Using Butterfly Cartilage, Temporalis Fascia, and a Novel Composite Cartilage Graft

Endoscopic transcanal myringoplasty with various graft materials is an effective method for tympanic membrane repair. The butterfly cartilage graft is suitable for small- to medium-sized perforations, and temporalis fascia remains suitable for large- and medium-sized perforations with adequate anterior margins. For subtotal perforations with minimal anterior margins, the novel composite cartilage graft offers a promising alternative with a high potential for successful outcomes. This warrants further investigation in larger prospective studies.