Objective: To describe the epidemiological, clinical, bacteriological and therapeutic aspects of simple chronic suppurative otitis media at the Sylvanus Olympio CHU.

Materials and Methods: This was an 08-year descriptive retrospective study (January 1, 2010 to December 31, 2017) carried out in the ENT department of the Sylvanus Olympio University Hospital in Lomé, covering the files of patients in whom the diagnosis of simple chronic suppurative otitis media was selected.

Results: 109 cases of simple chronic suppurative otitis media met the study criteria. They represented 0.16% of ENT consultations and 0.46% of otological pathologies. The sex ratio was 0.94. The mean age of the patients was 28.64 years with extremes of 08 months and 80 years. The most frequent reason for consultation was purulent otorrhea (80.73%). Otoscopic examination revealed non-marginal perforation of the tympanic membrane in 97.26% of cases. Cytobacteriological examination had been performed in 53.21% of cases and the most frequently isolated germs were Pseudomonas aeruginosa (50.80%), Staphylococcus aureus (14.29%), Klebsiella pneumoniae (12.69%) and Proteus mirabilis (11.11%). Pseudomonas aeruginosa was sensitive to imipenem and ciprofloxacin in 96.66% and 85.71% of cases, respectively, while Staphylococcus aureus was sensitive to imipenem, ciprofloxacin, and amoxicillin-clavulanic acid in 100%, 67%, and 78% of cases, respectively. The outcome was favorable in 105 cases (96.33%).

Conclusion: Simple chronic suppurative otitis media is relatively infrequent in our setting. Monitoring of the bacterial ecology of this condition must be regular because it allows to know the frequent germs for a rational probabilistic treatment.