During modified radical mastoidectomy (Bondy technique), which statement about the procedure is correct?
- A The posterior canal wall is completely removed
- B It is indicated for cholesteatoma limited to the attic and mastoid with intact mesotympanum ✓
- C The facial nerve is decompressed routinely
- D Ossicular reconstruction is never performed
Correct answer: B. It is indicated for cholesteatoma limited to the attic and mastoid with intact mesotympanum
Explanation
The Bondy technique preserves the posterior canal wall and is indicated for cholesteatoma confined to the attic and mastoid antrum with a well-aerated mesotympanum. Disease is exteriorized by removing the lateral attic wall while maintaining canal wall integrity. This avoids a mastoid cavity and its maintenance issues. Ossicular reconstruction can be performed if needed.
Reference: Scott-Brown's Otorhinolaryngology, 8th ed.
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Written and medically reviewed by the StethoPrep medical team.