A patient of CSOM with cholesteatoma present with acute onset of veigo. Treatment is:: (A) Immediate exploration, (B) Antibiotics + steroids, (C) Labyrinthine sedatives + antibiotics, (D) Labyrinthine sedatives only
Answer is A. Ans. A CSOM with cholesteatoma is the most common cause of labyrinthus, presents with transient veigo often induced by pressure on tragus, cleaning the ear or while performing val salva monoeuure * Coical mastoidectomy (in acute mastoiditis) or modified radical mastoidectomy (in chronic middle ear infection or cholesteatoma) will often be required to treat source of infection