Título Em Otorrinolaringologia Practice Questions - Título De Especialista Em Otorrinolaringologia E Cirurgia Cérvico-Facial (ABORL-CCF AMB) Exam

Access More Questions

A 42-year-old man presents with chronic, foul-smelling, purulent left otorrhea refractory to topical fluoroquinolones, along with progressive hearing loss. Otoscopy reveals a retraction pocket in the pars flaccida containing keratin debris and erosion of the lateral epitympanic wall (scutum). High-resolution temporal bone CT demonstrates soft tissue filling the Prussak space with blunting of the scutum and partial erosion of the incus long process. Which of the following is the most appropriate surgical management according to ABORL-CCF otology consensus?

Myringotomy with grommet ventilation tube insertion and topical antibiotic drops Tympanomastoidectomy with complete cholesteatoma eradication and ossicular reconstruction Endolymphatic mastoid shunt surgery combined with systemic steroid therapy Laser myringoplasty with autologous fascia temporalis under local anesthesia

Correct Answer:

Tympanomastoidectomy with complete cholesteatoma eradication and ossicular reconstruction

Access more questions from this quiz

Continue to Título em Otorrinolaringologia Practice Questions - Título de Especialista em Otorrinolaringologia e Cirurgia Cérvico-Facial (ABORL-CCF AMB) Exam for more practice questions and the full quiz experience.

Access More Questions