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This study has been performed on show the incidence of sensory neural hearing loss (SNHL) in patients with chronic Otitis Media (COM) and it’s different parameters. 207 patients with persistent or previous otorrhea have been examined. 70 patients had bilateral otorrhea and 137 patients had unilateral problem so overall 277 ears are evaluated. The BC greater than 15 dB without carhartnotch was the basis for diagnosis of SNHL. 66 patients had SNHL and of them 26 cases were bilateral so total number of ears with SNHL were 92 (The incidence of SNHL was 32.2%). 3 cases were due to other causes like TB (1 case) RM fistula (1 case) and squamous cell carcinoma (SCC) of middle ear (1 case). About 90.3% of cases had down slooping high frequency SNHL in their audiogram. In 47.6% of the ears with granulation tissue and cholesteatoma had SNHL while 28.7% of cases with chronic perforation revealed SNHL. Analysis of this study showed that there is a probability of increased SNHL during old ages the cases of prolonged and persisted otorrhea also revealed a higher incidence of SNHL. We didn’t disclose correlation between age and severity of SNHL.

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Background and Objective: Fungal ear infection is common diseases in tropical areas with manifestation of acute and chronic clinical symptoms in external ear canal. This study was done to compare the fungal flora in external ear canal in chronic otitis media and subjects without otitis media. Method: This case-control study was done on 63 patients with chronic otitis media and 63 subjects without otitis media. Samples were taken from external ear canal with a sterile swab and were placed in the sterile tubes containing normal saline. The direct smear was prepared and samples were cultured in S, SCC and CMA (corn meal agar) media. Identification of genus and species were established using slide culture method and Germ-tube assay. Results: Positive fungi culture in external ear canal was seen in 77.78% and 17.46% of case and control groups, respectively (P<0.05). The most common type of fungi was Saprophyts (57.33%) followed by yeast (20.59%) and dermatophytes (17.32%). The most prevalent fungi in the subgroup of Saprophyts and dermatophytes was Aspergillusnigra (41.66%) and Trichophytonmentagrophytes (36.37%), respectively. The most common subgroup in yeast was Candida SPP with 53.85%. Conclusion: This study showed that the positive fungi culture in external ear canal is more prevalent in patients with chronic otitis media.