Efficiency of two-surgeon tympanomeatal flap elevation in endoscopic tympanoplasty

Within our controlled study setting, the two-surgeon technique served as an adjunctive strategy, reducing the operative time specifically for the TM flap elevation phase in endoscopic tympanoplasty compared to the conventional one-handed approach, without compromising the perforation closure rate. While this approach is not a prerequisite for efficient endoscopic tympanoplasty, our study suggests that it may serve as a valuable situational adjunct to enhance procedural efficiency during TM flap elevation.