Chronic Suppurative Otitis Media (CSOM) is a long-standing infection of the middle ear that can significantly affect hearing and overall quality of life. Marked by persistent or recurring ear discharge and damage to the eardrum, this condition often requires medical intervention beyond basic treatment. When medications are no longer effective, Chronic Suppurative Otitis Media surgery becomes the recommended solution to prevent further damage and restore proper ear function. At Dr Ram ENT Hospital, we offer advanced diagnostic and surgical care for CSOM with a focus on long-term relief and hearing restoration.
What is Chronic Suppurative Otitis Media (CSOM)?
CSOM is a chronic inflammation of the middle ear that results in a perforated eardrum and continuous or intermittent ear discharge. If left untreated, it can lead to more serious health issues including hearing loss, infections in nearby structures, and even brain complications in extreme cases.
There are two primary chronic suppurative otitis media types:
- Tubotympanic (Safe type) – This involves the anterior inferior part of the ear and typically carries a lower risk of complications.
- Atticoantral (Unsafe type) – A more serious form, often linked to cholesteatoma formation, which can cause bone erosion and intracranial complications.
Understanding the type of CSOM is crucial for determining the appropriate surgical approach.
Chronic Suppurative Otitis Media Symptoms
Timely recognition of chronic suppurative otitis media symptoms can lead to early intervention and better outcomes. Symptoms include:
- Continuous or recurring pus-like discharge from the ear
- Hearing loss, particularly in the affected ear
- Tinnitus (ringing in the ear)
- Fullness or pressure in the ear
- Occasional dizziness or balance issues
- Foul smell from ear discharge
For some patients, these symptoms can also cause secondary conditions such as vertigo. If you’re experiencing persistent dizziness or imbalance, consult our vertigo treatment specialist for expert evaluation and care.
When is CSOM Surgery Needed?
CSOM surgery becomes necessary when:
- Infection persists despite medical treatment
- There’s a large or long-standing perforation in the eardrum
- The patient has developed a cholesteatoma
- Hearing loss is worsening over time
At Dr Ram ENT Hospital, our ENT specialists conduct thorough assessments using audiometry, imaging, and endoscopy to confirm the need for surgery and determine the best treatment plan.
Types of Chronic Suppurative Otitis Media Surgery
The goal of CSOM surgery is to eliminate infection, repair the eardrum and bones, and restore hearing. Common procedures include:
1. Myringoplasty
This procedure repairs the perforated eardrum using a tissue graft, ideal for patients without active middle ear infections.
2. Tympanoplasty
A more comprehensive surgery that repairs both the eardrum and the small bones in the ear if they have been damaged.
3. Mastoidectomy
In cases of cholesteatoma or unsafe CSOM, this surgery removes infected mastoid air cells and prevents the spread of infection.
4. Combined Approaches
Some patients require a combination of the above procedures based on the complexity of their condition.
Our surgeons at Dr Ram ENT Hospital are highly experienced in performing these surgeries using modern, minimally invasive techniques to ensure a quicker recovery and better outcomes.
Post-Surgery Recovery and Care
After chronic suppurative otitis media surgery, patients typically experience steady recovery with appropriate aftercare. Post-operative instructions include:
- Keeping the ear dry for several weeks
- Avoiding heavy lifting or nose blowing
- Using prescribed medications and ear drops
- Regular follow-up appointments to monitor healing
Most patients return to normal activities within 1–2 weeks, although full hearing recovery may take a few months.
Why Choose Dr Ram ENT Hospital?
At Dr Ram ENT Hospital, we pride ourselves on delivering specialized care for a range of ear conditions, including CSOM. Our expert team combines accurate diagnostics, surgical precision, and patient-centered care to provide the best possible outcomes. Whether you’re facing minor symptoms or need complex CSOM surgery, we’re equipped with the latest tools and techniques to handle every case efficiently.
We are committed to ensuring that each patient experiences a smooth treatment process, from diagnosis to recovery. With a focus on both infection control and hearing preservation, our surgical interventions are tailored to suit individual needs.
Conclusion
Chronic Suppurative Otitis Media surgery is a crucial step toward resolving persistent ear infections and restoring hearing in patients who haven’t found relief with standard treatment. Understanding your symptoms, recognizing the type of CSOM and acting promptly can make a significant difference.
Trust Dr Ram ENT Hospital for expert diagnosis, safe surgical procedures, and compassionate follow-up care. If you or a loved one is struggling with chronic ear issues, don’t wait. Book a consultation today and take a step toward better ear health and hearing.