WebMD Answers
Initially, antibiotics may resolve an infection of the middle ear. If a tympanic membrane perforation is also present, topical antibiotic drops may be used. If eardrum or ossicle scarring has occurred, that will not be reversed with antibiotics alone. Surgery is often needed to repair the tympanic membrane (eardrum), and remove the infected tissue and scar from the middle ear and the mastoid bone.
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