Bilateral chronic suppurative otitis media in pediatric patients

Chronic suppurative otitis media (CSOM) is a chronic inflammatory condition of the middle ear characterized by perforation of the tympanic membrane with recurrent or persistent mucopurulent otorrhoea. Otorrhea is the most common complaint of CSOM compared to hearing loss and otalgia. The risk factors for CSOM include allergies, history of acute respiratory infection (ARI), history of AOM, impaired tubal function, and socioeconomic environment. In principle, the diagnosis of CSOM is based on anamnesis and physical examination assisted by supporting examinations. The history generally shows a history of persistent or recurrent otorrhea for more than 2 months. CSOM consists of two types, namely the benign type and the malignant type, which can be distinguished from the presence or absence of cholesteatoma. Treatment of the malignant type of CSOM is surgery to eradicate cholesteatoma.

Here we reported a case report of a 16-years old male patient with a chief complaint of discharge from both ears from 8 years ago. The patient was diagnosed as bilateral malignant type of CSOM with predisposing factors of poor socioeconomic and nutrition. The patient underwent left ear radical mastoidectomy under general anesthesia with good results at the follow-up visit and was planned to undergo radical mastoidectomy on the right ear.