Ear · NEET PG Preparation ENT
A 24-year-old male presents with foul-smelling, scanty right ear discharge and progressive hearing loss. Otoscopy shows a pars flaccida retraction po…
Practice question from Ear (NEET PG Preparation ENT), with the correct answer and a step-by-step solution.
medium · MCQ · Q-49A271
A 24-year-old male presents with foul-smelling, scanty right ear discharge and progressive hearing loss. Otoscopy shows a pars flaccida retraction pocket filled with keratin debris and crusts. What is the most appropriate next step in management?
- A.Aural toiletry and topical antibiotic-steroid drops only
- B.Systemic antiviral therapy
- C.Exploratory tympanotomy and mastoidectomyCorrect answer
- D.Hyperbaric oxygen therapy
Solution
The presentation is characteristic of an attic cholesteatoma (unsafe chronic suppurative otitis media), which carries a high risk of intracranial and intratemporal complications due to its erosive nature. Surgical excision via mastoidectomy (canal wall up or canal wall down) is mandatory.
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