Final answer:
Patients with tubotympanic CSOM typically experience persistent ear discharge, hearing loss, and occasional ear pain, with symptoms presenting more gradually than in Acute Otitis Media.
Step-by-step explanation:
The clinical presentation of patients with the tubotympanic type of Chronic Suppurative Otitis Media (CSOM) often includes persistent ear discharge (otorrhea) which is typically not foul-smelling, mild to moderate hearing loss, and variable degrees of ear pain (otalgia). Unlike Acute Otitis Media (AOM), which is characterized by the formation and accumulation of pus in the middle ear resulting in severe bulging of the tympanic membrane and significant ear pain, tubotympanic CSOM results in a more prolonged course of infection with a typically intact or perforated tympanic membrane allowing for discharge. Other symptoms associated with tubotympanic CSOM may include a sense of fullness or pressure in the ear, tinnitus (ringing in the ear), and rarely fever, unless concurrent AOM is present.