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Medical Specialties

At the Center for Neurosciences, we work together across specialties to provide the best, most comprehensive approach to treatment.

Chronic Suppurative Otitis Media

Chronic Suppurative Otitis Media (CSOM) is defined as a persistent ear infection with drainage (> 3 months’ duration) in the presence of a tympanic membrane perforation. Typically, associated with conductive hearing loss, untreated CSOM can result in serious complications such as mastoiditis, facial nerve paralysis, cholesteatoma formation, dizziness, and intracranial infections.

When medical management (antibiotics & ear cleanings) fails, surgery is indicated to patch the perforated eardrum, remove infected bone/soft tissues, and treat complications such as cholesteatoma.

The main goal of treatment is to create a dry ear that is free of infection. Hearing is typically improved but may be unchanged or sometimes worsen.

Why Choose Us

  • Dr. Abraham Jacob, Medical Director for Ear & Hearing (E&H) at the Center for Neurosciences (CNS), is fellowship trained in Otology, Neurotology, and Cranial Base Surgery. He is the first and most experienced Neurotologist in Southern Arizona.
  • Dr. Jacob was a founding member of the University of Arizona (UA) Department of Otolaryngology prior to his departure and transition to CNS. At UA, he was Vice Chair of ENT and held the rank of full Professor with Tenure.
  • Dr. Jacob decided to move his practice to the Center for Neurosciences in early 2017 as he felt that the new environment helped him to optimize delivery of personalized ear and lateral skull base care.
  • Dr. Abraham Jacob offers state-of-the-art medical & surgical care for all ear and lateral skull base disorders. Unmatched in training and with substantial clinical experience, Dr. Jacob has helped hundreds of patients medically manage, surgically treat, and appropriately rehabilitate (hearing aids and implantable hearing technologies) chronic suppurative otitis media. Experience matters!