Abstract
Because the suspicion of tuberculous otitis media is low and clinicians are no longer encountering the typical classical features of the disease on a regular basis, there is frequently a considerable delay prior to diagnosis. For that reason, a description of modern features is needed. We report a case of postoperationally diagnosed tuberculous otitis media. The patient had not experienced any otalgia even though the left tympanic membrane had a central perforation. The observation of the tympanic membrane after tympanoplasty revealed that the painless perforation of the tympanic membrane could have been a sufficient feature to indicate tuberculous otitis media. The administration of oral antituberculous drugs can be effective therapy even if the diagnosis is made after tympanoplasty.
