Microscopic and endoscopic approaches are utilized for tympanoplasty. The procedure is typically performed under local anesthesia , but General anaesthesia is given in selective cases.
Tympanoplasty is done using a postauricular, endaural or transcanal approach depending on the size of the TM perforation, the size of the ear canal and the preference of the surgeon. As in other surgical fields, a trend towards more minimally invasive techniques has led to trans-canal or endoscopic ear surgery becoming increasingly popular.