Surgery for chronic otitis

Chronic otitis is a persistent inflammation of the middle ear that presents as repeated discharge, gradually worsening hearing loss and sometimes pain. Certain forms, such as cholesteatoma, correspond to a build-up of skin in the middle ear that can erode neighbouring structures and must be removed surgically. Surgery for chronic otitis aims first to clear the ear: removing the inflamed tissue or the cholesteatoma, treating lesions of the mastoid bone if necessary, then rebuilding the eardrum and, where possible, the ossicular chain to preserve or improve hearing. The operation takes place under an operating microscope, with microsurgical instruments and, where useful, facial nerve monitoring which secures the surgical procedure. Regular follow-up is then essential, particularly after cholesteatoma surgery. At Clinique Pasteur Tunis, this specialised surgery is carried out by ENT surgeons experienced in otology, with a complete technical platform — operating microscope and facial nerve monitoring — guaranteeing precision and safety.