Management Of Otitis Media?

Illustration of Management Of Otitis Media?
Illustration: Management Of Otitis Media? rch.org.au

Hello, I have chronic suparitive otitis media. Is this something to do? or can it be cured because of the medicine?

1 Answer:

Hello, thank you for the question to HealthReplies.com

Chronic suppurative otitis media (CSOM) is a perforation (tear) in the tympanic membrane (eardrum) with persistent discharge from the middle ear for more than 6 weeks. The principle of treatment in patients with CSOM is to overcome infection in the middle ear and tympanic membrane closure. To be able to overcome this infection, it needs to be looked at again how deep the infection is.


If the infection has occurred to a very deep part of the ear (which is not possible with antibiotics) or if the growth of cholesteatoma has been seen in the ear, then treatment with surgery is recommended to be done as soon as possible. Patients who already show symptoms of CSOM complications such as subperiosteal abscesses, nerve paralysis in the face, symptoms of infection to the lining of the brain or brain, etc. also require treatment with surgery as soon as possible. If the infection is still quite mild and not deep, then aggressive ear cleaning (or called aural toilet) coupled with the administration of topical antibiotics (antibiotic ear drops) will be enough to be able to overcome this middle ear infection. It is important to remember that aggressive aural toilets are one of the most important components in overcoming CSOM (not only by administering drugs).


To distinguish whether CSOM can be treated with aural toilet and antibiotics alone or already requires surgery, an examination must be done directly to the ENT doctor. We recommend that you check yourself to the ENT doctor for ear evaluation first, and follow the advice of your ENT doctor related therapeutic plans that need to be done.

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