- 14 year old male presented with a 3 year history of right ear discharge, decreased hearing, and ringing in the right ear. - Examination revealed a central perforation in the right eardrum with discharge and debris in the middle ear. Hearing tests showed moderately severe conductive hearing loss in the right ear. - A provisional diagnosis of right chronic otitis media with conductive hearing loss was made, and tympanoplasty with possible mastoidectomy was planned.