Background: One of the most prevalent viral children illnesses in the world, chronic suppurative otitis media (CSOM) is a major factor in hearing loss in settings with minimal resources. In environments with plenty of resources, it is less common. Chronic middle ear drainage linked to tympanic membrane (TM) perforation is its defining feature. Acute otitis media frequently occurs prior to CSOM (AOM). The long-term consequences of COM-related hearing loss on language development, communication, and the educational process make it a serious concern. It is estimated that developing nations account for two thirds of the global population with hearing impairments. The present study was intended to assess the surgical outcomes in patients with chronic suppurative otitis media who has undergone surgery at our tertiary care hospital. Methodology: The present prospective hospital based observation study was conducted in the department of ENT at our tertiary care hospital. The study was approved by institutional ethical committee. The data were collected by the active participation of the patients’ interview by the preformed proforma of data collection sheet and then data were gathered and tabulated. Detail history, physical examination and relevant investigations were done pre-operatively and post-operatively. Post-operative follow up after 1month and 3 months were done.

Results: The present study included a total of 50 patients aged between 10 years to 50 years based on inclusion and exclusion criteria who presented with CSOM and underwent surgical procedure. Out of the 50 patients enrolled 33 were males and 17 were females. Majority of the patients were in the age group 10-20 years. It is evident from the table 2 that 32% presented with postero-superior perforation, 36% with attic perforation, 96% discharge, 38% aural polyp, 46% granulation tissue. The most commonest clinical presentation was discharge. It is evident from table 3 that at one month and three months follow ups 16%, 12% had discharging ear, 24% and 22% had dry ear, 2% and 0% had

granulation tissue, 84% and 86% had improved hearing, 10% and 8% had unchanged and 6% and 6% had deteriorated hearing loss.

Conclusion: In this study, most CSOM cases occur in the age range of 10-20 years. The most frequent clinical presentation is otorrhea. Hearing loss arising from COM is a matter of serious concern because of its long-term effects on communication, language development and educational process. Early diagnosis and intervention by skilled Otologist is recommended to regain hearing as well as to prevent disability and complications.