Managing chronic otitis media (COM) involves a combination of medical and sometimes surgical treatments to control the infection and prevent complications. Here are the main approaches:

1. Aural Toileting: Regular cleaning of the ear by a healthcare professional to remove debris and discharge is essential.

2. Topical Antibiotics: Antibiotic ear drops are often used to treat the infection locally. These may be combined with steroids to reduce inflammation.

3. Systemic Antibiotics: In cases where the infection is severe or not responding to topical treatment, oral or intravenous antibiotics may be necessary.
4. Homoeopathic: Symptomatic Homoeopathic Medicine.
4. Surgery: If medical treatments are not effective, surgical options such as tympanoplasty (repair of the eardrum) or mastoidectomy (removal of infected mastoid bone) may be required.
5. Hearing Aids: For patients with significant hearing loss, hearing aids can help improve hearing function.
6. Preventive Measures: Avoiding water exposure in the ear, managing allergies, and treating upper respiratory infections promptly can help prevent exacerbations.

Regular follow-ups with an ENT specialist are crucial to monitor the condition and adjust treatment as needed.