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ENT General 132fa187

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
High-Yield Explanation
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

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