<prompt> A patient of CSOM with cholesteatoma present with acute onset of veigo. Treatment is:Immediate explorationAntibiotics steroidsLabyrinthine sedatives antibioticsLabyrinthine sedatives only  <response>: 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 