#Chronic
Sometimes a middle-ear infection causes a hole (perforation) in the eardrum. A hole that does not heal within six weeks is called chronic otitis media. This problem can take one of three forms:
Non-infected chronic otitis media – There is a hole in the eardrum but no infection or fluid in the middle ear. This condition can exist indefinitely. As long as the ear remains dry, nothing necessarily needs to be done for this condition. Repairing the hole is only necessary to improve hearing or to prevent infection.
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