Patient Introduction:- Age/Sex: 30-year-old female- Occupation: Factory worker- Presenting Complaint: Recurrent ear discharge and hearing loss in the left ear for the past year. Medical History:- Recurrent episodes of acute otitis media in childhood.- No other significant medical history. Examination & Findings:- Otoscopy: Perforation in the pars tensa region of the tympanic membrane, with active discharge.- Audiometry: Conductive hearing loss in the left ear.- No signs of cholesteatoma or mastoiditis. Differential Diagnosis:- Cholesteatoma- Otitis media with effusion- Eustachian tube dysfunctionManagement:- Culture and sensitivity of the ear discharge.- Start topical antibiotics and keep the ear dry.- Audiometric monitoring and follow-up.- Consider tympanoplasty for persistent perforation and hearing loss. Teaching Guidelines:- Discuss the pathophysiology of chronic otitis media.- Review the management principles, focusing on the prevention of complications.- Highlight the importance of follow-up and monitoring. Points to Ponder:- The chronic nature of the disease and its impact on the quality of life.- Surgical options and their timing.- The role of patient education in managing chronic ear diseases.

Case Study 2: Chronic Otitis Media

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