Managing chronic mastoiditis involves a combination of medical and sometimes surgical treatments to control the infection and prevent complications. Here are the main approaches:

1. Antibiotics: Oral antibiotics are typically prescribed to manage the infection. In some cases, intravenous (IV) antibiotics may be necessary, especially if the infection is severe.

2. Ear Drops: Antibiotic ear drops can help reduce the infection locally.

3. Regular Ear Cleanings: Regular cleanings by a healthcare professional are essential to remove any debris and prevent further infection.
4. Homoeopathic: Symptomatic Homoeopathic medicine.

5. Surgery: If medical treatments are not effective, surgery may be required. Procedures such as mastoidectomy (removal of infected mastoid bone) or tympanoplasty (repair of the eardrum) can help eliminate the infection and restore normal ear function.

6. Monitoring and Follow-Up: Regular follow-up appointments with an ENT specialist are crucial to monitor the condition and adjust treatment as needed.

It’s important to address chronic mastoiditis promptly to avoid serious complications, such as hearing loss or the spread of infection to nearby structures.