Objective: To discuss the clinical effect of self--fat myringoplasties and temporalis myringoplasties under nasal endoscope, and summarize the advantages and disadvantages of them. Method: Retrospectively analyzed the clinical information of 127 cases (139 ears) with self--fat myringoplasties and temporalis myringoplasties from Jun. 2002 to Jun. 2008, and observed healing conditions of different degree of tympanic perforation. Result: All the cases were followed up more than 6 months, the total healing rate was 90.6 % (126/139). For pati...