Chronic Suppurative Otitis Media (CSOM) with Pus Discharge from Middle Ear

In active stage of chronic suppurative otitis media (CSOM) which can be recurrent the pus discharge can occur. An ear discomfort, itchiness or fullness are the usuall patient complaints prior to its occurrence. The produced pus is mucoid or sticky due to increased activity of the mucous glands along the middle ear cleft, in the presence of infection. The factors which predispose to CSOM include URTI/flu, entry of water while taking bath or from swimming and also chemical irritation from outside sources for example a body bath, soap, shampoo etc. These will be followed by secondary infection and subsequent pus formation. Its treatment includes ear mopping or suctioning of the discharge under microscope view, followed by topical eardrops application which contains broad spectrum antibiotics. In this video we can see an active pus discharge from the middle ear (turbid, yellow, fluid over deeper ear passage floor) with an inflamed perforation edge. We can see few prominent superficial vessels at the vascular strip area superiorly. The perforation of the eardrum is of moderately large size and centrally located.