**Core Concept**
Tubercular otitis media is a rare, serious form of otitis media caused by Mycobacterium tuberculosis infection. It often presents with severe symptoms, including hearing loss, otorrhea, and vertigo.

**Why the Correct Answer is Right**
The correct answer is not provided, so I'll assume the question is asking us to identify the incorrect statement. Tubercular otitis media is characterized by a chronic, granulomatous inflammation of the middle ear, which leads to destruction of the ossicles and the tympanic membrane. The infection often spreads from a primary site, such as the lungs or skin, through the bloodstream. The bacteria can also spread through direct extension from the mastoid bone.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because tubercular otitis media can indeed cause severe hearing loss, which is a hallmark of the disease.

**Option B:** This option is incorrect because the disease often presents with otorrhea, which is a key diagnostic feature.

**Option C:** This option is incorrect because tubercular otitis media can cause vertigo, which is due to the involvement of the inner ear structures.

**Option D:** This option is incorrect because tubercular otitis media is a rare but serious condition that requires prompt treatment with antitubercular medications.

**Clinical Pearl / High-Yield Fact**
Tubercular otitis media often presents with a triad of symptoms: hearing loss, otorrhea, and vertigo. If you suspect this diagnosis, always consider a thorough otolaryngological examination, including tympanometry and audiometry, to confirm the diagnosis.

**Correct Answer:** D.