40 years old male patient came with complaints of:
1. Giddiness - 4 days duration
2. H/o ear discharge (scanty and foul smelling) left ear
3. Nystagmus could be seen - when the patient looks towards the left side
Showed evidence of cholesteatoma of left middle ear with erosion of lateral semicircular canal
Patient was immediately admitted.
Antibiotics and labyrinthine sedatives started
Modified radical mastoidectomy left ear performed.
Fistula over lateral canal identified and sealed with temporalis fascia graft.