Abstract
Studies of pathogenesis of otitis media indicate clear cut categories including POM (acute purulent otitis media), SOM (serous otitis media), MOM (mucoid or secretory otitis media), COM (chronic suppurative otitis media) and sequellae with frequent overlap of types. One type of otitis media can lead to another type along a continuum. In this paper our concepts of treatment based on laboratory studies and clinical observation, both medical and surgical, are documented.

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