Chronic suppuration can occur with or without cholesteatoma, and the clinical history of both conditions can be very similar. Patient In chronic suppurative otitis media, there is a hole (perforation) in the drum and usually a persistent discharge (otorrhoea). All forms of otitis media respond well to expert treatment.
Otitis media - Suppurative otitis media can be diagnosed positively only by aspiration of purulent fluid from the middle ear, but this procedure is rarely necessary for initial diagnosis and management. Clinical findings helpful in distinguishing suppurative from secretory otitis media are discussed below. Oct 1 20Chronic suppurative otitis media (CSOM ) is a perforated tympanic membrane with persistent drainage from the middle ear (ie, lasting 6-wk).
Otitis me dia inflammation of the middle ear, usually seen in infants and young children, and classified as either serous (or secretory) or suppurative (or purulent). Secretory otitis media, or glue ear, is persistent and insidious and mainly affects children causing unsuspected deafness and educational disadvantage. Both types characteristically result in accumulations of fluid behind the tympanic membrane with some degree of hearing loss.
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Chronic Suppurative Otitis Media: Practice Essentials
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