Chronic Otitis Media

Chronic Suppurative Otitis Media – Chronic Middle Ear Inflammation




CSOM (Chronic Suppurative Otitis Media) is chronic middle ear inflammation. Sufferers experience recurring perforation of the tympanic membrane, with resulting lost of hearing that varies in severity.

CSOM is an continuing cycle of inflammation, ulcers, and infections. The infection causes the middle ear to become inflamed and irritated. This causes ulcers on the mucus membrane and a breakdown of the inner ear’s lining.

Polyps can develop in the middle ear. All of which can lead to a varying degree of complications.  Fever and vertigo can be a symptom of the infection. If these symptoms occur it’s advised to see a medical expert immediately.

Hearing Loss




A common side effect of Chronic otitis media is hearing loss. This loss usually occurs in the affected ear. In children this can have a serious impact on speech development and learning.

Parents of small children should be cautious of complaints of earaches and any discharge from the ear. As these are some of the most common symptoms of recurring CSOM.

Hearing Test

Your doctor may wish to perform an audio-gram to see if any significant hearing loss has occurred. A CT scan may also be ordered. This is to detect any if any bone erosion has occurred or if there may be a foreign body lodged in the ear.

Patients with CSOM are advised to keep the ears dry. Usually, water-sports like swimming should be avoided. However, if the ears do become wet they should be immediately dried.

Using ear plugs during swimming or diving is also advisable. In general, the condition will be monitored via hearing tests and examinations.

In most cases a topical antibiotic is usually prescribed. This may take the form of special inner-ear drops. In small children irrigation and cleaning of the inner air is often prescribed.

Hearing Doctor

A nurse or medical professional will usually demonstrate how to properly perform this procedure. Overtime the inner ear should heal. Which means any hearing loss is usually temporary. However, the condition may be a chronic one that reoccurs.

If normal antibiotic therapies fail, other treatments maybe be performed. These treatments are usually performed in the hospital via IV administered antibiotics.

Cleaning of the ear ways may also be administered by a trained nurse or medical assistant. In more extreme cases, surgery may be advised. This is if the damage to the inner ear is much to severe to repair on it’s own. Such cases are rare and usually the result of neglecting to address the inner ear infection before it could too much damage.

The Tympanic membrane can usually  heal itself under normal circumstances. Provided the inner ear infection has been detected early enough.  In some cases, special ear implants may be requested in order to assist drainage and aid in healing.  If you notice ear discharge and complaints of ear aches in your small child, don’t hesitate to seek medical advice.

Inner ear infections in small children are quite common. There are also a number of ways to quickly resolve the issue.

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