“…It is said that monocular vision of endoscope is associated with inferior depth perception as compared to a microscopic vision. 12,14 Meticulous haemostasis is essential in endoscopic ear surgery as a drop of blood can obscure the field. 13 Accidental patient movement if occurs during endoscopic surgery under local anaesthesia there can be secondary direct trauma by the tip of the endoscope to external auditory canal, middle ear, ossicles, dura, facial nerve etc.…”