RESUMO
To determine the surgical outcome of chronic suppurative otitis media [CSOM] in term of anatomical and functional results. This study was conducted in the department of E.N.T. Abbasi Shaheed Hospital, Karachi, over a period of one year from Jan 2002 to Jan 2003. 50 consecutive patients were included in this study presented with chronic suppurative otitis media. All cases were enrolled in previously prepared performa which include pertinent clinical history and examination, results of related investigations, surgical findings, surgical techniques adopted and final out come. Total 50 patients were included in this study, of which 23 were male and 27 female with the ages from 2 years to 53 years. Surgical techniques included the intact canal tympanoplasty in 15[30%] patients and canal wall down tympanoplasty in 20[40%] patients. In the canal wall down technique, cavity problems were observed in 3 [8.5%] patients. Graft takes were good in 33 [94%] patients and functional results in term of gain in hearing were observed in 31 [88.5%] cases. CSOM may associate in some farm of irreversible sequelae or pathological condition of the middle ear. It is the disease of low socioeconomic group. The infection may be mixed and polymicrobial, however complications are rare because of the invention of effective antimicrobial agents. Anatomical and functional results were good in our series and this is due to good pre-operative assessment, use of proper surgical techniques and long term follow up