Unsafeness of surgically safe ear

Canal wall down mastoidectomy is the treatment of choice for attico antral ear disease with intracranial complication. It is done after the treatment of intracranial complication, to prevent any further complication due to attico antral ear disease. A second intracranial complication occurring after the surgical treatment of an ear disease is rare. A 12-year-old female patient, who developed brain abscess 6 weeks after undergoing surgical treatment for lateral sinus thrombosis with attico antral ear disease, is reported. The brain abscess was drained through a burr hole. Patient recovered completely and at the sixth month of follow up mastoid cavity was well epithelialised.