Learning Objectives: There is a high prevalence of chronic ear disease in the developing world. Poverty, lack of awareness regarding the importance of treating ear diseases and long distances are factors which result in late presentation with advanced disease. Tuberculous otits media is also common in the Indian subcontinent, the hallmark being atypical presentation, severe hearing loss and early complications. TBOM can co-exist with cholesteatoma. This presentation will focus on the challenges in the management of chronic ear diseases in the developing world.

There is a high prevalence of chronic ear disease in the developing world. Poverty, lack of awareness regarding the importance of treating ear diseases and long distances are factors which result in late presentation with advanced disease. Tuberculous otits media is also common in the Indian subcontinent, the hallmark being atypical presentation, severe hearing loss and early complications. TBOM can co-exist with cholesteatoma. This presentation will focus on the challenges in the management of chronic ear diseases in the developing world.