HEARING LOSS RELATED TO TUBERCULOSIS (TB) Tuberculosis is a serious disease . drug use in the treatment of TB are associated with SENSORI NEURAL HEARING LOSS. TB OTITIS MEDIA the classic feature are painless Otorrhoea with multiple tympanic membrane perforation , severe hearing loss, bone necrosis . Patients who present with Otorrhoea refactory and chronic middle ear infection associated with facial nerve palsy should be raise a suspicion of TB.