Acute suppurative otitis media is an acute suppurative inflammation of the middle ear mucosa caused by bacterial infection. This condition is commonly seen in children. Clinically, it is characterized by ear pain, purulent discharge from the ear, tympanic membrane congestion, and perforation. If treated promptly and appropriately with proper drainage of secretions, the tympanic membrane perforation often heals on its own after the inflammation subsides, and hearing usually returns to normal. In cases of improper treatment or severe conditions, it may result in persistent tympanic membrane perforation, middle ear adhesions, tympanosclerosis, or progression to chronic suppurative otitis media, and even lead to various complications. The treatment principle for this disease is to control infection and ensure proper drainage. Early administration of adequate antibiotics followed by other antimicrobial agents is essential to completely cure the infection, prevent complications, and avoid the transition to a chronic condition.