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A man in his 70s presented with a 5-year history of a right tympanic membrane perforation and intermittent painless otorrhea that cleared with medical management. He had required the use of a hearing aid in that ear for the past 4 years. Physical examination revealed a dry tympanic membrane perforation with no evidence of active drainage or granulation tissue in the ear canal or middle ear. Audiometry findings revealed severe to profound mixed conductive and sensorineural hearing loss on the right side. There were no neurologic deficits.
Harvey RS, Mehta RI, Morales RE, Eisenman DJ. An Unusual Case of Chronic Otorrhea. JAMA Otolaryngol Head Neck Surg. 2014;140(1):75-76. doi:10.1001/jamaoto.2013.5803