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 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.
Other ear conditions that we manage commonly:
- Hearing loss
- Ear wax
- Eustachian tube dysfunction
- Otitis media
- Otitis externa