Chronic suppurative otitis media is high-quality infection of the middle ear. CSOM and recurrent acute otitis media in
childhood are associated with adult hearing loss, underlining the importance of optimal treatment in these conditions.
CSOM has acquired significant interest, not only because of its high prevalence and chronicity but additionally due to
issues inclusive of drug resistance and ototoxicity with each topical and systemic antibiotic. In present study we clinical
impediment of COSM and its etiological agents in patients acknowledge at tertiary care hospital: This prospective,
observational study was conducted in department of ENT in patients in age group 19 to 60 years with a clinical diagnosis
of CSOM. Total 150 patients were included in present study. Men 56% were more than women 44%. We considered only
19-60 years age group. Among all patients age group19–30, 31-40, 41–50and 51-60 years incidence was noted as 23%,
21%, 32% and 24% respectively. Mean age in present study was 12.5± 6.93 years. In present study 13% atticoantral type
(unsafe) less than tubotympanic type (safe) was more common 87% in present study. Improvement of health care facilities
and awareness among health-care providers for early treatment would definitely be helpful in reducing the further hearing
loss and other complicationsddd |