A patient of CSOM has choleastatoma and presents with vertigo. Treatment of choice would be -
The patient is presenting with CSOM and vertigo which means cholesteatoma has led to fistula formation involving semicircular canals which in turn has caused vertigo. So the management is immediate mastoid exploration to remove the cholesteatoma.
Antibiotics and labyrinthine sedative
Myringoplasty
Immediate mastoid exploration
Labyrinthectomy