Diseases of The Middle Ear
A patient of CSOM has choleastatoma and presents vertigo with. Treatment of choice would be: (LQ)
|A||Antibiotics and labyrinthine sedative|
|C||Immediate mastoid exploration|
Since circumscribed labyrinthitis is the most common type, so immediate rnastoidexploration wlll be the option of choice.
The answer is further supported by Scotts Brown 7th/ed vol-3 pg-3437 which says.
"Chronic low grade imbalance with or without detectable nystagmus, implies the development of a labyrinthine fistula" –
Patients with active squamous COM . Cholesteatoma present) and A. suspected labyrinthine fistula should have early
surgical management to prevent deterioration of inner ear function. Most surgeons recommend a canal wall down