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Get to know your specialist personally / @doctorscircle-knowyourdoctor World's Largest Video Heath Platform is now in Hindi Subscribe to - / @doctorscirclehindi for HINDI videos Chronic suppurative otitis media is a disease of the middle ear that is caused by firstly the normal air passage going to the ear from the nose, not functioning well enough an d two the bacterial form the nose spreading into the era thereby causing the infection within the middle ear. If the infection within the middle ear is not dealt with at the onset, and brought to control, the chronicity starts. In a chronic suppurative otitis media if it is purely functional element of the eustachian tube not functioning, in that case surgery which is done to make sure we alleviate the disease and repair the ear drum. On the other hand if the chronic suppurative otitis media is because of a cholesteatoma, then the extensiveness of the surgery may extend depending on the merits of the particular situation, thereby creating a whole new environment inside the middle ear and also having to repair the structures which are destroyed and repairing the ear drum so that good transmission of sound is possible and a dry functioning ear is made possible thereafter.