Brief Answer: Most probably a surgery will be required Detailed Answer: Hi, Thanks for the query. Ear discharge with diminished hearing with your ENT suggesting you a surgery points towards the diagnosis of Chronic suppurative otitis media which means that there is a perforation in your ear drum. Your CT scan report is also suggestive of the same and as there is a perforation in ear drum, it will be needing a surgery to close that perforation until and unless it is a very small central perforation. As your doctor has told you that you need to undergo surgery for a 'massa' chances are that there must be a polyp in your middle ear and that needs to be removed. Your ear is wet/discharging and not responding to treatment, it is rightly that your doctor has prescribed you a culture sensitivity which will help in specifically prescribing an antibiotic. So, please wait for the culture report and use that antibiotic. Afterwards if the ear becomes dry, the surgery will be required to close the perforation. If the ear does not become dry, then the surgery will be required to clean the mastoid bone as well as the middle ear and close the perforation. So, most likely you will be needing a surgery until and unless your ear becomes dry and the perforation gets healed on its own. Please keep your ear dry and avoid entry of water in the ear. Feel free to ask another query. Regards

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Brief Answer: Descriptive Detailed Answer: Thanks for the query. Placing a cotton plug while taking bath is the precaution which is recommended in discharging ears. Your ear has become dry after removal of massa points to two possibilities; one that the discharge was coming from massa which was occupying the ear canal and the ear drum was normal, second, the massa was coming from inside the middle ear through the ear drum and was not allowing the ear to ventilate and thus becoming dry. Removing it ventilated the area and helped in drying it. Which doctor told you that drum is good, first or second? Which doctor took a piece from massa? If the first doctor told you that ear drum is normal, it is not the possibility as massa must have been covering some part of drum. If second doctor took a piece, and told that ear drum is normal, that means massa was origination from external auditory canal. Then your CT should not show the evidence of mastoid infection. So, in my opinion, there must have been a small perforation which got healed when ear became dry which is many a times the case. There can be mastoid infection without perforation but the ear discharge need s to come from some where, so the possibility of perforation. Feel free to ask another query. Regards

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