A patient of CSOM with cholesteatoma present with acute onset of veigo. Treatment is:
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
Immediate exploration
Antibiotics + steroids
Labyrinthine sedatives + antibiotics
Labyrinthine sedatives only