Kim BJ, et al. - The feasibility of endoscopy in exposing the anterior surface of the malleus and tensor tympani tendon (ASMT) in children with congenital cholesteatoma (CC) was evaluated by the authors. They also investigated the outcomes of hearing, postoperative complications, and residual or recurrent disease in endoscopic surgical approach cases. Surgeons could be helped by total endoscopic or endoscope-assisted surgery, to directly visualize the ASMT in children with negligible risks of hearing deterioration, postoperative complications, and recurrent disease. They found that in patients with CC in the ASMT, endoscopic ear surgery ought to be considered.