Abstract
Paediatric Chronic Suppurative Otitis Media (CSOM) remains a challenge for the treating otologists. Usually, concurrent foci of infection lie in the oropharynx or nasopharynx and treating these eventually leads to resolution of ear discharge. However, refractory cases can be threatening in view of complications secondary to CSOM. A two year and 10-month-old child presented with recurrent profuse mucopurulent ear discharge which had been refractory to multiple medical treatment. Recently she had recurrent otitis external episodes with excoriations of canal skin. Child underwent bilateral tympanoplasty with cartilage palisading technique. At eight months follow-up, the neotympanum is intact and the child had no further episodes of ear discharge. This case to our knowledge is the youngest child to undergo a bilateral successful cartilage tympanoplasty in Indian subcontinent. This case report is written with the aim to highlight the fact that cartilage tympanoplasty can be considered in treating refractory cases of paediatric CSOM.