FRCS ORL-HNS Section 1 Practice Questions - Intercollegiate Specialty Fellowship Examination In Otolaryngology - Head And Neck Surgery (Section 1) Exam

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A 32-year-old man presents with chronic left-sided foul-smelling otorrhea and progressive conductive hearing loss. Otoscopy shows a deep attic retraction pocket filled with keratinous debris and erosion of the scutum. High-resolution CT of the temporal bone confirms a soft tissue mass in the epitympanum with erosion of the incus body and scutum, but intact bony labyrinth and facial canal. What is the definitive management?

Topical fluoroquinolone ear drops and regular micro-suction alone Mastoidectomy with complete excision of the cholesteatoma Long-term oral antifungal therapy Laser obliteration of the tympanic membrane retraction

Correct Answer:

Mastoidectomy with complete excision of the cholesteatoma

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