Diseases of The Middle Ear
Treatment of choice for' Perforation Jn ,pars-flaccidaof thetyinpilnic membrane with cholesteiltorna is:
CSOM is two Types
Tubotympanic or safe type
Atticoantral or unsafe type or dangerous type
Mild to moderate conductive deafness
Scanty, purulent, foul- Smelling
Attic or posterosuperior marginal
Red and Fleshy
Conductive or mixed deafness
a. TOC for ettlcoantral variety of (SOM is surqery- ..
b. Toc for tubotympanictype of (SOMis mainly conservattvelntnetormoi aural toiletlnq andsystemic antibiotics and once the ear is dry myringoplasty can be done.
Perforation of pars flaccida leads to attic perforation which is considered dangerous and should be managed with modified radical mastoidectomy