Which perforation of the tympanic membrane is most commonly seen with tubotympanic CSOM?

Which perforation of the tympanic
membrane is most commonly seen with
tubotympanic CSOM?
a) Central
b) Anterosuperior
c) Posterosuperior
d) Posteroinferior
Correct Answer - A
Ans. is ‘a’ i.e., Central [Ref Dhingra 5thle p. 77; Pediatric
otolaryngology 2"/e p. 478] Tubotympanic CSOM
It is also known as safe ear as it does not cause any serious
complications
Infection is is limited to antero-inferior part of middle ear cleft
(eustachain tube & mesotympanum) and is associated with central
perforation in pars tensa of tympanic membrane.