ASSESSMENT OF FUNCTIONAL AND SURGICAL OUTCOMES IN COMBINED APPROACH MASTOIDECTOMY FOR CHRONIC OTITIS MEDIA SQUAMOSAL TYPE.

Patients who need ossicular chain reconstruction, have recurring infections, or have large or complex cholesteatomas benefit most from Combined Approach Mastoidectomy. More accurate removal of diseased tissue, better preservation of the ear's architecture, and better results in terms of hearing restoration and recurrence prevention are all made possible by the dual access. The process is customized to the patient's pathology, with technique modifications made in response to the severity of the illness and the ear's anatomical characteristics. Compared to conventional methods, this strategy has shown a notable decrease in cholesteatoma recurrence rates and enhanced hearing results. To reduce problems like facial nerve damage or lingering disease, it necessitates meticulous patient selection, thorough preoperative imaging, and proficiency with both techniques. The combination strategy continues to develop with advancements in surgical technology, such as the use of endoscopy and intraoperative imaging, and provides a promising remedy for difficult ear diseases.