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References

• The mainstay of treatment for cholesteatoma is mastoid surgery with the aim of providing a safe, dry, waterproof and hearing ear.
• The procedure is performed through a postauricular incision under general anaesthetic.
• A concurrent aim of surgery is to restore the hearing with reconstruction of the ossicles.
• The integrity of the facial nerve is safeguarded, in part, by the use of a facial nerve monitor during surgery.
• Mastoid surgery is often associated with an enlargement of the entrance of the ear canal or meatoplasty.
• Steroids are given in the peri-operative period to facilitate recovery of the facial nerve.