This view is rather one-sided and is the previous concept of treatment of otitis media. With the development of modern medical technology, some patients with otitis media can also be solved by surgery. Patients with secretory otitis media mainly need to treat their causative factors, such as rhinitis, sinusitis, upper respiratory tract infections, colds, etc., available nasal drops Chinese medicine antibiotics and other drugs, nasal polyps, nasal nasopharyngeal tumors, nasopharyngeal hypertrophy of heavy proliferators, etc. should be operated, malignant tumors can first radiation therapy, conservative drug treatment is ineffective to consider pharyngeal tube blowing or tympanic membrane puncture fluid extraction, conservative more than 3 months invalid should consider tympanic membrane If conservative treatment does not work, eustachian tube blowing or tympanoplasty and aspiration may be considered. In addition to antibiotics for acute otitis media, ear drops should be used for patients with ear pain, and anti-inflammatory glycerin for pain relief in the non-perforated tympanic membrane. In chronic middle ear mastoiditis, recurrent attacks can be treated surgically, and surgery can also be performed during the septic phase. Surgery should be considered for those who occasionally have pus but have significant conductive hearing loss and large tympanic membrane perforations, but for those with long intervals between attacks, less pronounced hearing loss, and small to moderate tension perforations in the tympanic membrane, the middle ear mastoid lesions can be treated conservatively on CT examination. Cholesteatoma-type otitis media should be operated early once detected, and those with facial palsy and intracranial and extracranial complications should be operated on urgently. There are two types of otitis media, one is purulent otitis media, which is mostly caused by cold. The initial ear pain is obvious, swelling, and fever may be present until the tympanic membrane is perforated and pus flows, then the pain is reduced. The other type is called non-suppurative otitis media. In this type of otitis media, there is no pus flow, but only stuffy ears, hearing loss, or tinnitus. This is caused by inflammation of the Eustachian tube causing pressure changes in the middle ear cavity. Treatment for suppurative otitis media is: pus culture if available, and drug sensitivity test, and selection of antimicrobial agents, either orally or by injection, according to the test results. Localized ear: If the pus is large and thick, clean it with hydrogen peroxide and then apply ear drops with sensitive antimicrobial drops. If it is non-suppurative otitis media, then the main thing is to reduce the edema of the Eustachian tube, apply nasal drops and decongestants, and use antimicrobials appropriately.