Case Report: Otitis Media Supuratif Kronik Auricula Dekstra Type Benigna

Abstract

The present case report describes the clinical features, diagnostic findings, and management of a 61-year-old female patient diagnosed with Chronic Suppurative Otitis Media (CSOM) of the right ear, benign type. CSOM is a persistent inflammation of the middle ear characterized by continuous or recurrent ear discharge through a tympanic membrane perforation lasting more than two weeks. The patient presented with right ear discharge for approximately four months, initially serous and later purulent with occasional blood, accompanied by ear pain, fullness, tinnitus, and mild dizziness. Physical examination revealed a central perforation of the tympanic membrane with mucopurulent discharge, supporting the diagnosis of benign-type CSOM. Treatment consisted of aural toilet and systemic antibiotic therapy using levofloxacin 500 mg twice daily combined with cetirizine 10 mg once daily for one week, alongside education to maintain ear hygiene and avoid water exposure. Clinical improvement was observed with resolution of otorrhea and no further complications. Prognosis was good (ad vitam bonam), while functional and curative outcomes were moderately favorable (dubia ad bonam). This report emphasizes the importance of early diagnosis, adequate antimicrobial therapy, and patient compliance in achieving a dry and safe ear condition while preventing recurrence or long-term hearing impairment in CSOM.