The treatment of choice for atticoantral variety of CSOM is
ExplanationThe main management of unsafe CSOM is mastoid exploration by mastoidectomy which can be intact canal wall or canal wall down procedure (please refer the text for details of these procedures). • Initial medical management of atticoantral CSOM with local and systemic antibiotics is indicated only in superimposed acute infection or complication. • Underlay myringoplasty is done in tubo-tympanic CSOM. • Ventilation tube or grommet is inserted in serous Otitis media