FCEM2-0405

A 32-year-old woman presents with a history of persistent foul-smelling discharge from her right ear. She has undergone three separate courses of antibiotic drops, but they have been ineffective in resolving the issue. Additionally, she is experiencing hearing difficulties in her right ear. Her medical history includes recurrent ear infections. Upon examination, a retraction pocket is observed in the attic, along with granulation tissue on the tympanic membrane and a significant amount of debris.

What is the MOST suitable next step in managing this patient?