Chronic suppurative otitis media (CSOM) is defined as a perforated tympanic membrane with persistent drainage from the middle ear for more than 2-6 weeks. Chronic suppuration may occur with or without ... cholesteatoma, and the clinical history of the two conditions can be very similar. CSOM differs from chronic serous otitis media because chronic serous otitis media can be defined as a middle ear effusion without perforation that is reported to last for more than 1-3 months. Globally, the average CSOM incidence is estimated at 4.76% and 22% occurs in children under 5 years. The prevalence of CSOM varies between countries but is higher in low to middle income countries. 2 In Indonesia the prevalence of CSOM is 5.4%. In addition, research on school-age children in Indonesia shows that 2.7% of children experience CSOM in rural areas, while in urban areas 0.7% experience CSOM. This prevalence is relatively high with most cases in rural areas [Show More]
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