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A B S T R A C T Endoscopic ear surgery (EES) is a safe technique to approach different diseases of the middle ear, but it has certain limitations that must be respected at the risk of complications. A case of meningeal breach induced during an exclusive endoscopic approach to epitympanic cholesteatoma is presented. The limits and safety conditions of this technique are remembered.doi:10.1016/j.xocr.2021.100291 fatcat:va7ewp2dpvgy3m2jvoocupcqgy