Final answer:
A patient with ossicular necrosis in CSOM may have symptoms like ear discharge, potential ear pain, hearing loss, tinnitus, and possibly dizziness if the inner ear is involved.
Step-by-step explanation:
The presentation of a patient with ossicular necrosis in Chronic Suppurative Otitis Media (CSOM) may include a range of symptoms. One common indicator is a persistent or recurrent discharge from the ear, known as otorrhea, which may have a foul odor due to the infection. The presence of ear pain (otalgia), though less common in CSOM than in Acute Otitis Media (AOM), can still occur. Patients may experience hearing loss given that the ossicles, which are necessary for sound transmission, are affected. The necrosis, or death of ossicular bone tissue, can lead to the disruption in the linkage of the ossicular chain reducing its ability to conduct sound efficiently from the tympanic membrane to the inner ear. This can present with difficulty hearing, particularly in noisy environments, or the perception that sounds are muffled. In some cases, patients may also exhibit tinnitus (a ringing or buzzing noise in the ear) or dizziness if the infection has spread to the inner ear structures affecting the vestibulocochlear nerve.