Study note

Treatment of tuberculous otitis media

THE CONTEXT
Treatment includes systemic antitubercular therapy, local ear care and surgery when complications require it.

Medical and local treatment

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Systemic antitubercular therapy is given as for the primary disease.
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Local treatment consists of aural toilet and control of secondary pyogenic infection.

Surgery and healing

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Mastoid surgery is indicated for complications.
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Healing is delayed in tuberculous cases, and wound breakdown and fistula formation are common.
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Reconstructive middle ear surgery is delayed until antitubercular therapy has been completed.
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