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This is photograph of a left bone, “Bone 3 with Cholesteatoma.” An atticotomy has been made to expose the disease process. The surgeon has to decide if the cholesteatoma can be dissected away completely leaving the ossicular chain intact and the hearing normal or does the chain need to be dismantled to gain access to all the keratinising squamous epithelium thus inflicting conductive deafness on the patient. What would you do?