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Chronic otorrhoea, otalgia and hearing loss not responding to antibiotics and tympanoplasty surgery
  1. Hannes Hermann Brandt,
  2. Frank Uwe Metternich and
  3. Raffaela Fürer
  1. Department of Otolaryngology, Kantonsspital Aarau AG, Aarau, Switzerland
  1. Correspondence to Dr Hannes Hermann Brandt; hannes.brandt{at}


Chronic otorrhoea from a tympanic membrane perforation is common. We present the case of a patient who had already received seemingly adequate treatment for his condition in the past. Yet, he presented to our outpatient clinic with worsening otalgia and otorrhoea, progressive hearing loss and a new tympanic membrane perforation. After a thorough otological evaluation, the patient’s medical history and the histological specimen from a previous operation were reviewed. The findings met the diagnostic criteria of eosinophilic otitis media. After treatment with topic triamcinolone through the perforated tympanic membrane, the patient’s otalgia subsided, hearing levels were improved and the size of the tympanic membrane perforation decreased.

  • ear
  • nose and throat/otolaryngology
  • nasal polyps
  • immunology
  • asthma

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  • Contributors HHB was the resident who had initiated contact and therapy with the patient in clinic. He also wrote the initial manuscript. RF was the supervising attending doctor and corrected the first manuscript version. FUM is the clinic’s otology specialist and provided his insight when discussing different treatment options; also, he corrected and enhanced the manuscript’s later versions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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