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Chronic Suppurative Otitis Media (CSOM)
Case description
Note the mucopurulent discharge issuing from this moderately large central perforation in this left tympanic membrane. This used to be referred to as chronic suppurative otitis media [CSOM]. The advantage of having a perforation in the tympanic membrane is that this type of middle ear infection can be treated by the direct installation of antibiotic/to write containing eardrops. The disadvantage in prior times was that in some cases the eardrops used were ototoxic and caused destruction of the inner ear.
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