Abstract
Chronic Otitis Media (COM) is defined as the chronic inflammation of the middle ear cleft including the middle ear, mastoid air cell system and the eustachian tube in presence of a permanent abnormality of the pars tensa or flaccida, most likely as a result of earlier acute otitis media, negative middle ear pressure or otitis media with effusion. As COM is not necessarily a result of the gathering of pus, the classic term chronic suppurative otitis media (CSOM) is no longer advocated.
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