Jan 15, · Chronic otitis media (COM) is a recurrent infection of the middle ear and/or mastoid air cells in the presence of a tympanic membrane perforation. Symptoms commonly associated with chronic ear disease include hearing loss, otorrhea, aural fullness, otalgia, and occasionally true vertigo. They are: Acute otitis media- This middle ear infection occurs suddenly. It causes swelling and redness. Fluid and pus become Chronic otitis media- This is a middle ear infection that does not go away, or happens repeatedly, over months to years. Otitis media with effusion- Fluid (effusion) and.