Common otitis media treatment methods are broadly divided into two types: conservative treatment; surgical treatment. The choice of treatment method must be decided by a specialist. First of all, a specialist otology examination should be done to see the size, location and secretion of the tympanic membrane perforation; auxiliary examinations: pure tone audiometry and acoustic impedance for subjective and objective hearing evaluation; temporal bone thin layer CT to determine the extent and size of middle ear otitis invasion, the condition of the auditory chain and whether there is bone destruction in the middle ear through imaging examination. For example, cholesteatoma of the middle ear. Although cholesteatoma is a pseudotumor, it is highly invasive to the mucosa and bone of the middle ear and can cause facial paralysis, vertigo, brain abscess, etc. Once cholesteatoma is detected or highly suspected, surgical eradication is the absolute treatment. If the otitis media is in a quiescent state, there is no pus flow, although the tympanic membrane is perforated, and patients who are too old to tolerate surgery or unwilling to operate, such patients can be treated conservatively and reviewed regularly, and attention should be paid to the prevention of colds, rhinitis, water in the ear, etc. In any case, the decision to operate or not should be made through an interview with a specialist otolaryngologist.