The wide-angle view of the endoscope allows the opportunity for transcanal access to eradicate attic and antrum disease. This is performed through a wide atticotomy that is left and packed open. The tympanic membrane is reconstructed up to the level of the horizontal segment of the facial nerve. This technique allows office-based follow-up and surveillance of recurrent disease through the open attic without the need to create a large cavity. It is my experience that these small cavities have been proven to be benign, shallow and easy to manage. This technique also provides better framework for reconstruction of ossicular chain and tympanic membrane. Video documentation of the pre-operative findings, intra-operative technique, and post-operative results of two cases will be presented.