Otitis media is a common otolaryngological condition that often occurs in patients who frequently swim or clean their ears excessively, as well as those who accumulate cholesteatomas in the external ear canal, leading to otitis media and tympanic membrane perforation. The main pathogens associated with otitis media are typically Streptococcus pyogenes and Staphylococcus aureus. The treatment involves selecting sensitive antibiotics based on throat swab culture and drug sensitivity tests to provide anti-inflammatory symptomatic treatment. If the inflammation is severe and there is formation of cholesteatoma or granulation tissue along with perforation of the tympanic membrane in the external auditory canal, it may be necessary to perform mastoidectomy and tympanoplasty to thoroughly remove the middle ear lesions and achieve healing. (Medication should be used under the guidance of a doctor.)