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Chronic suppurative otitis media (CSOM) is one of the most common childhood infectious diseases worldwide and is a leading cause of hearing impairment in resource-limited settings.
CSOM is more common in developing countries due to poor socioeconomic conditions, inadequate nutrition, and a lack of health education. In India, prevalence is higher in rural areas (46/1000) than urban (16/1000).
CSOM has two distinct types: the first is the benign or tubotympanic type, which primarily affects the inferior anterior region of the middle ear cleft and results in permanent central perforation. Despite this symptom, individuals with this type of CSOM are not prone to severe complications.
CSOM is assumed to be a complication of acute otitis media. The underlying pathology of CSOM is an ongoing cycle of inflammation, ulceration, infection and granulation. A persistent tympanic membrane perforation leads to recurrent middle ear infection and chronic inflammation.
Chronic Suppurative Otitis Media (CSOM) typically results from recurrent or inadequately treated acute otitis media, leading to persistent inflammation and infection of the middle ear.
Chronic suppurative otitis media (CSOM) is a perforated tympanic membrane with persistent drainage from the middle ear (ie, lasting >6-12 wk). Chronic suppuration can occur with or without...