Background: Chronic suppurative otitis media(csom) ,tubo tympanic or safe type is a persistent inflammation of the middle ear or mastoid cavity, and is characterised by recurrent or persistent ear discharge through a perforation of the tympanic membrane. Hearing impairment is the major complication of csom. conductive component is usually affected whereas sensory neural component is also involved in long standing case of safe type of csom. The main objective of the study is identifying the proportion of patients with chronic suppurative otitis media with sensorineural hearing loss. Materials and methods: This is a prospective study, conducted in the department of otorhinolaryngology in a tertiary care centre from the period of February 2022 to February 2023, between the age group of 20 and 40 years and was diagnosed with csom safe type.