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Unsafe CSOM, or Chronic Suppurative Otitis Media, is a serious ear condition. It requires prompt attention and treatment. Unsafe CSOM is often caused by repeated ear infections. It can lead to the formation of a cholesteatoma. This is an abnormal skin growth in the middle ear. The cholesteatoma can erode bones and damage ear structures. Symptoms include persistent ear discharge and hearing loss. There may be a foul smell from the ear. If untreated, it can cause dizziness and facial muscle weakness. In severe cases, it can lead to brain abscesses or meningitis. Diagnosis involves a thorough ear examination. Doctors use otoscopy to look inside the ear. Imaging tests like CT scans may be needed to assess the extent of damage. Treatment often involves surgery to remove the cholesteatoma. This is different from safe CSOM, which usually doesn't require surgery. Post-surgery, patients may need antibiotics to prevent infection. Regular follow-ups are crucial to ensure complete recovery.