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Multiple Perforations of the Tympanic Membrane CASE 14 CASE: Multiple small perforations seen in the anterior part of tympanic membrane (Figs 1A and B). Figs 1A and B: (A) Two perforations in pers tensa; (B) Multiple perforations with congested TM and patches of myringosclerosis Provisional Diagnosis: Tubercular Otitis Media Q.1 What are the special features of tubercular otitis media? Ans. 1.… is a scholarly article available to read on EtoBox.