There are two main reasons for discharge of pus
from the ear.
First is Eustachian tube dysfunction secondary
to a nasal or sinus cause resulting in middle ear pressure
problems leading to otitis media and perforation – the so called
tubotympanic disease. Sinuses need evaluation in this type of ear
discharge.
Second is Cholesteatoma, producing ear
discharge. Cholesteatoma is basically skin in the wrong place. The
discharge is scanty and foul smelling. Once a Cholesteatoma is
detected it should be removed, because it has the potential to
produce intracranial complications.
Discharge from the ear is almost always associated with perforation
of the ear drum and hard of hearing. Sinus and Nose is well known
for the Endoscopic Sinus Surgery- but what is not well known is that
we also do very good ear surgery.