PT - JOURNAL ARTICLE AU - Brandt, Hannes Hermann AU - Metternich, Frank Uwe AU - Fürer, Raffaela TI - Chronic otorrhoea, otalgia and hearing loss not responding to antibiotics and tympanoplasty surgery AID - 10.1136/bcr-2020-240897 DP - 2021 Apr 01 TA - BMJ Case Reports PG - e240897 VI - 14 IP - 4 4099 - http://casereports.bmj.com/content/14/4/e240897.short 4100 - http://casereports.bmj.com/content/14/4/e240897.full SO - BMJ Case Reports2021 Apr 01; 14 AB - Chronic otorrhoea from a tympanic membrane perforation is common. We present the case of a patient who had already received seemingly adequate treatment for his condition in the past. Yet, he presented to our outpatient clinic with worsening otalgia and otorrhoea, progressive hearing loss and a new tympanic membrane perforation. After a thorough otological evaluation, the patient’s medical history and the histological specimen from a previous operation were reviewed. The findings met the diagnostic criteria of eosinophilic otitis media. After treatment with topic triamcinolone through the perforated tympanic membrane, the patient’s otalgia subsided, hearing levels were improved and the size of the tympanic membrane perforation decreased.