Chronic middle ear infectionis manifested through pain in the structures of the middle ear, and in particular the tympanic membrane and the ossicular chain.
Chronic otitis is always the result of a malfunction of the Eustachian tube, the channel that connects the nasal cavity with the middle ear and ensures its ventilation: the ear is subjected to a disorder that has its origin in the nose.
For this reason, the dental specialist usually checks the nasal cavities at the endoscopic level and may require a TAC study of the paranasal sinuses. If he considers it necessary, he will then suggest nose surgery.
In any case, there will first be an attempt to correct any nasal problems, before performing surgery.