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SubjectsENTEarChronic Suppurative Otitis Media (CSOM)

Chronic Suppurative Otitis Media (CSOM)

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CSOM is a chronic inflammation of the middle ear cleft (Eustachian tube, middle ear, attic, aditus, antrum, mastoid air cells) presenting with a permanent perforation of the tympanic membrane and recurrent or persistent ear discharge for more than 6–12 weeks. The single most important exam concept is splitting CSOM into the tubotympanic ("safe") type and the atticoantral ("unsafe"/cholesteatoma) type, because almost

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