<prompt> The treatment of choice for atticoantral variety of chronic suppurative otitis media is:MastoidectomyMedical managementUnderlay myringoplastyInseion of ventilation tube  <response>: Ans. A MastoidectomyChronic suppurative otitis media CSOM is classified into 2 types viz. tubotympanic disease, in which there is perforation of the pars tensa; and atticoantral disease, in which a retraction pocket develops from the pars flaccida.CSOM of atticoantral type is impoant because of the complications associated with it.Treatment of this variety is surgical and the 2 commonly applied operations are atticotomy and a modified radical mastoidectomy. 