A Conceptual and Clinical Study on the Ayurvedic Management of Chronic Suppurative Otitis Media (Csom)

Abstract

Chronic Suppurative Otitis Media (CSOM) is a persistent inflammation of the middle ear characterized by recurrent ear discharge through a perforated tympanic membrane. Chronic Suppurative Otitis Media (CSOM) can be correlated with various pathological conditions described under Karna Roga Vijnana by Sushruta and Vagbhata. If left untreated, CSOM may lead to significant complications, including hearing loss, mastoiditis, and intracranial infections. Ayurvedic management is important for its comprehensive approach, which emphasizes not only symptomatic relief but also the underlying cause and prevention of recurrence. The integration of Ayurvedic principles in the management of CSOM can serve as an effective adjunct or alternative to conventional therapy, especially in chronic or drug-resistant cases. However, in severe cases involving total or subtotal tympanic membrane perforation, surgical management, such as tympanoplasty, may be necessary. Small perforations and mastoiditis without intracranial complications may be managed effectively with appropriate Ayurvedic treatment. Clinical experience and empirical evidence highlight the potential of Ayurveda to provide long-term relief and improve the quality of life in patients with conditions like Putikarna and Karnasrava.