True about tubercular otitis media are all except
Spreads through Eustachian tube
Causes painless ear discharge
May cause multiple perforations
Usually affects both ears
Tubercular otitis media In most of the cases, infection is secondary to pulmonary tuberculosis; infection reaches the middle ear through the eustachian tube. Perforation: Multiple perforations, 2 or 3 in number, are seen in pars tensa and form a classical sign of disease. These may coalesce into a single large perforation. Painless ear discharge: Earache is characteristically absent in cases of tubercular otitis media. Discharge is often foul-smelling because of the underlying bone destruction. (Ref: Textbook of diseases of ENT, PL Dhingra, 7th edition, pg no. 81,82)
Ear