Modified Radical Mastoidectomy + Tympanoplasty (CWD/CWU)

Common in cases where imaging or otoscopy indicates cholesteatoma with bone destruction, recurrent purulent discharge, or progressive hearing loss. The decision is influenced by the extent of the lesion, mastoid and tympanic cavity ventilation, previous surgical history, overall health, and accessibility. If ossicular chain reconstruction is required or cavities are difficult to completely remove, corresponding surgical methods are often planned, and a staged strategy is evaluated.