In response to letter to the editor entitled ‘is an endoscopic or a microscopic approach optimal for management of attic cholesteatoma?’
In this previous study, we compared exclusive endoscopic ear surgery (EES) withmicroscopic earsurgery (MES) in the surgical treatment of a series of‘attic’cholesteatomas.Clarifications in response to some observations made by Zhengcai-Lou et al. are reported below. In the study conclusions, the authors did not indicate the EES as theoptimal treatment in cases of‘attic’ cholesteatoma.