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Chronic otitis media is the chronic inflammation of mucoperiosteal lining of the middle ear cleft characterized by ear discharge, a permanent perforation of the tympanic membrane and impairment in hearing. It is one of the most common ear diseases encountered in developing countries due to poor socio-economic standards, poor nutrition, lack of health education and unhygienic habits. Other causes of tympanic membrane perforation include trauma,blast injury etc. According to the American Academy of Ophthalmology and Otolaryngology Subcommitee on conservation of Hearing 1965 definition Tympanoplasty is ''a procedure to eradicate disease in the middle ear and to reconstruct the hearing mechanism with or without tympanic membrane grafting"1 . The term Tympanoplasty was introduced in 1953 by Wullstein to describe surgical techniques for reconstruction of the middle-ear hearing mechanisms that had been impaired or destroyed by chronic ear disease 2 . Tympanoplasty can be considered the final step in the surgical conquest of the conductive hearing loss and represents the culmination of over 100 years of evolution of surgical procedures on the middle ear to improve hearing. The surgical application of the operating microscope,first by Nylen 3 in 1921 as a monocular instrunment , and then by Holmgren,who introduced the binocular operating microscope in 1992,was an important advance destined to play an increasing role in the perfection of fenestration ,stapes operations and tympanoplasty . With the advent of the rigid endoscopes for sinus surgery, its extended applications in other fields have emerged. Mer and colleagues introduced the middle ear endoscopy 4 . Since then endoscopes are increasingly used for various middle ear surgeries. Transcanal endoscopic approaches of middle ear provide wide angled view for inspecting the anatomy of the middle ear and redefining of the ossicles, which allows a better understanding of the ligaments and folds of the middle ear and help to understand the physiology of different spaces 5 . In the surgical repair of tympanic membrane perforations several variables come into play such as size of perforation, overhang, eustachian tube function, state of the mucosa, wound healing, degree of pneumatization etc. Aims and Objectives:-The objective was to determine merits and demerits of the endoscope as compared to the microscope in tympanoplasty type-1 surgery and to compare the results of both groups in terms of the duration of surgery, graft success rate and the post operative hearing gain.Corresponding Author:-Smruti Swain.

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INTRODUCTIONSeroma pinna is a collection of fluid between the auricular cartilage and the perichondrium. It is a cystic swelling filled with serous fluid. Seromas can occur spontaneously or after surgery or trauma 1 .Extravasated fluid might clot leading to the deformity of the cartilage as well as the ear. Males are usually affected with unilateral presentation. Other morbidities include scarring, perichondritis and abscess formation. Depending on the nature of swellings and the symptoms, they can be distinguished from other conditions of the pinna.2 Successful treatment is challenging because of high rate of recurrence.Usual treatment used to consist of aspiration of the fluid and pressure bandage. Ghanem et al found recurrence of the seroma after aspiration and pressure bandage. Various other modalities have also been designed. Other methods include using buttons as pressure splints, excising a piece of cartilage and perichondrium to cure recurrent seromas, placement of a continuous portable suction drain has also been advised, suturing through and though after aspiration. 4 The multitude of options suggest lacuna of some degree in each such modality. Aims and objectivesTo compare a more newer technique of through and through suturing in seroma pinna with the more traditional window method on the basis of patient ABSTRACT Background: Seroma pinna is a collection of fluid between the auricular cartilage and the perichondrium. Seromas can occur spontaneously or after surgery or trauma. Depending on the nature of swellings and the symptoms, they can be distinguished from other conditions of the pinna. Successful treatment is challenging because of high rate of recurrence. Usual treatment used to consist of aspiration of the fluid and pressure bandage. Methods include using buttons as pressure splints, excising a piece of cartilage and perichondrium to cure recurrent seromas 4 ,placement of a continuous portable suction drain has also been advised, suturing through and though after aspiration. Methods: In the first group of patients through and through suturing was done and in the second group window resection was done. Results: The recurrence rate was 5% for the first group patients while 20% for the second group. The percentage of development of perichondritis was 5% for group A and 15% for group B. Conclusions: The method put forward in this study is a simple and effective way for its management. The avoidance of dressing is a positive factor and positive factor is that it can be done on an OPD basis.