A 30-year-old male is having attic cholesteatoma of left ear with lateral sinus thrombophlebitis. Which of the following will be the operation of choice?
Aim of surgery in middle ear infections is to make the ear safe. Since attic cholesteatoma in this case is complicated by lateral sinus thrombosis, modified radical mastoidectomy (canal wall down procedure) will be justified. In this case, the disease will be exteriorized so that the cavity could be subsequently examined and cleaned if cholesteatoma was left behind or recurs.Intact canal wall mastoidectomy and simple mastoidectomy are "canal wall up" procedures. Obliteration of mastoid cavity even after removal of cholesteatoma runs the risk of burying cholesteatoma and subsequent complications.
An intact canal wall mastoidectomy
Simple mastoidectomy with tympanoplasty
Canal wall down mastoidectomy
Mastoidectomy with cavity obliteration
Ear