Case Of Chronic Suppurative Otitis Media in Adolescent Boy : Risk Factors, Clinical Manifestations and Management.

Poluan, Fransiskus Harf and Hutapea, Maesy Clarissa and Tampubolon, Christine Handayani (2026) Case Of Chronic Suppurative Otitis Media in Adolescent Boy : Risk Factors, Clinical Manifestations and Management. International Journal of Medical Case Reports (IJOMCR), 7 (3). pp. 1-4. ISSN 2455-0574

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Abstract

Background Chronic Suppurative Otitis Media (CSOM) is a persistent infection of the middle ear. It is characterized by recurrent or continuous otorrhea through a perforated tympanic membrane. It remains a significant cause of preventable hearing impairment, particularly in developing countries. This report highlights the risk factors, clinical presentation, diagnosis, management and outcome of CSOM in an adolescent patient with identifiable modifiable risk factors. Case Report A 15-year-old male presented to the Ear, Nose and Throat outpatient clinic of Pelabuhan Hospital, North Jakarta with two-month history of right-sided ear pain, ear discharge, aural fullness, tinnitus and progressive hearing loss. The patient reported frequent swimming and habitual ear cleaning with cotton swabs. Otoscopic examination revealed purulent otorrhea, hyperemia of the external auditory canal and a central perforation of the pars tensa with mucopurulent discharge. Pure-tone audiometry demonstrated mild-to-moderate conductive hearing loss in the affected ear, while the contralateral ear was normal. A diagnosis of right-sided tubotympanic (safe type) CSOM was made. Patient was managed by aural toilet, 3% hydrogen peroxide ear drops, topical ofloxacin, oral erythromycin. Additionally counseling regarding prevention of water entry particularly in affected ear and avoidance of ear canal manipulation was also done. At two-week follow-up, the patient showed marked symptomatic improvement, with significant reduction in otorrhea, otalgia, and tinnitus. Additionally subjective improvement in hearing was reported. Conclusion This case emphasizes the contribution of modifiable behavioral risk factors, particularly frequent water exposure and cotton-swab use, in the development of CSOM among adolescents. Early diagnosis, audiometric assessment, appropriate antimicrobial therapy and preventive education can result in favorable clinical outcomes and help prevent long-term auditory sequelae.

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