Chronic suppurative otitis media (CSOM) is a chronic inflammation of the middle ear. Clinical features includes recurrent otorrhoea through a tympanic (ear drum) perforation, with conductive hearing loss of varying severity.

Treatment includes a myringoplasty which can be performed in an endoscopic manner that reduces the chance of scarring.

A picture showing active CSOM. This will need to be treated with topical antibiotics till the infection becomes quiescent.

A picture showing active CSOM. This will need to be treated with topical
antibiotics till the infection becomes quiescent.

A picture 4 months after endoscopic myringoplasty is performed showing a healed tympanic membrane (ear drum) and improved hearing.

A picture 4 months after endoscopic myringoplasty is performed showing a healed tympanic membrane (ear drum) and improved hearing.

Uncommonly, the post-auricular approach can result in poor healing with keloid formation. The endoscopic approach avoids the risk of this.

Uncommonly, the post-auricular approach can result in poor healing with keloid formation. The endoscopic approach avoids the risk of this.

Other ear conditions that we manage commonly:

  • Hearing loss
  • Ear wax
  • Eustachian tube dysfunction
  • Otitis media
  • Otitis externa
  • Giddiness/vertigo

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