The treatment for chronic suppurative otitis media has often been discouraging and unsatisfactory. In spite of approved local treatment, the discharge does not clear up or it reappears with each new common cold or sore throat.
Levine1 has said that one may distinguish three general classes of patients with chronically discharging ears: (1) those who should never be operated on, (2) those who should always be operated on and (3) those who should be operated on only after medical treatment has been given a fair trial.
Since the etiology of this chronic condition arises so variously, it is logical to study each case individually, eliminating as far as possible causative and aggravating factors. When grave exacerbation is evidenced by persistent vomiting, vertigo and nystagmus, these serious symptoms without a doubt call for operative procedure without delay.
In nonoperative cases I have personally had unusually favorable results,
KIMBRIG M. A USEFUL SELF-RETAINING ELECTRODE FOR ZINC IONIZATION IN CHRONIC SUPPURATIVE OTITIS MEDIA. Arch Otolaryngol. 1932;15(5):750–752. doi:10.1001/archotol.1932.03570030771010