1. Is there any danger of recurrent otitis media pus flow? The main manifestations of otitis media are repeated ear discharge, hearing loss, tinnitus, and perforation of the eardrum. Hearing loss can be mildly conductive in the early stage, and gradually the auditory bone will be destroyed and even affect the neurosensory function, leading to serious or even irreversible hearing loss. Prolonged otitis media can lead to sarcoidosis and cholesteatoma, which can cause serious intracranial and extracranial complications. 2. Can otitis media be cured by medication? Many patients think that they can be cured by simple medication, but this is actually the misconception of otitis media treatment. In fact, there is no need to use medication for simple tympanic membrane perforation without pus flow, but it will not eliminate recurrent infections in the future. Only through surgery can we hope to solve the problem once and for all. Surgery for otitis media is a microsurgical procedure with three objectives: (1) to completely remove the lesion and obtain a “dry ear” (instead of an ear with chronic pus flow); (2) to prevent or treat serious complications caused by otitis media, such as facial palsy, meningitis or even brain abscess; and (3) to restore or partially restore the damaged hearing. 3. When should I have surgery? Can surgery be performed when the pus is flowing? Regarding the timing of surgery for otitis media, for those with good hearing and simple tympanic membrane perforation, tympanoplasty can be chosen when there is no pus flow. For patients with significant hearing loss, especially those with combined granulomatous hyperplasia or even cholesteatoma, there is often recurrent infection and pus flow, and it is difficult to “dry” the ear, so it is difficult to cure the ear completely without surgery. In this case, there is no need to wait for “dry ear” before surgery. 4. Is surgery dangerous? Ear microsurgery is difficult, and clinicians need years of clinical training and strict training in temporal bone anatomy to be able to perform it, so you need to choose a regular hospital with better technology. However, the surgery itself is very safe and the risks are manageable. The surgery also repairs the perforated tympanic membrane and, if there is damage to the auditory bone, repairs the bone as much as possible. Most of the damaged bones are now repaired with artificial bones, and in most cases the removal of the lesion and the reconstruction of the hearing can be done at the same time (one-stage repair).