Often ear drainage or pus can be controlled with medication. Treatment includes cleaning the external ear canal, ear drops, and oral antibiotics. In the past, surgical treatment was aimed at controlling middle ear infections and preventing serious complications of otitis media. Recent innovations in surgical techniques have been able to reconstruct the damaged hearing conduction mechanism in most patients, resulting in improved hearing. Eardrum perforations can be repaired with a muscular membrane (temporalis fascia) or cartilage membrane. Hearing bone destruction can be repaired and hearing reconstructed with prosthetic hearing bone (TORP or PORP), cartilage, etc. A piece of cartilage is usually placed inside the eardrum during surgery to avoid postoperative scarring and to improve middle ear function and increase eardrum mobility. If the middle ear is filled with scar tissue or if the auditory tuberosity is completely destroyed, then a two-stage procedure may be performed to improve hearing. The purpose of the first surgery is to remove the diseased tissue and reduce scarring, while the second surgery is aimed at rebuilding hearing. The choice of second-stage surgery depends on the first surgery.