**Core Concept**
Tuberculous otitis media refers to the involvement of the middle ear by Mycobacterium tuberculosis, typically presenting as a chronic infection with symptoms such as hearing loss, ear discharge, and conductive hearing loss. This condition is often associated with a history of tuberculosis elsewhere in the body.

**Why the Correct Answer is Right**
Tuberculous otitis media is characterized by granulomatous inflammation involving the middle ear mucosa, ossicles, and the tympanic membrane. The infection often presents with a chronic, insidious onset and may be associated with systemic symptoms such as fever, weight loss, and night sweats. The pathogenesis involves the invasion of M. tuberculosis into the middle ear through hematogenous spread or direct extension from nearby infected tissues.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is a characteristic feature of tuberculous otitis media, which often presents with a chronic, insidious onset.
**Option B:** This option is a common symptom of tuberculous otitis media, which may be associated with granulomatous inflammation and tissue destruction in the middle ear.
**Option C:** This option is incorrect because tuberculous otitis media typically presents with conductive hearing loss due to middle ear involvement, rather than sensorineural hearing loss.

**Clinical Pearl / High-Yield Fact**
The primary treatment for tuberculous otitis media involves a combination of antitubercular medications, such as isoniazid, rifampicin, and pyrazinamide, in conjunction with supportive care to manage symptoms and prevent complications.

**Correct Answer: C. Sensorineural hearing loss**