This present article is a study with a view to assess cases of safe otitis media and the eustachian tube patency in all the cases with the analysis of utility of different methods of assessing eustachian tube patency. Methods and Materials: A cross sectional study conducted at a tertiary care teaching hospital. 86 patients with safe otitis media previously treated with medical management were chosen. Valsalva Test, Siegalization test, Ear drops test, Tympanometry and Nasopharyngoscopy were carried out. Observations made were based on the sensitivity of the various eustachian tube function tests. Results: Siegalization test had 88% accuracy whereas Valsalva and ear drop test had 83% accuracy. Tympanometry only had 76% accuracy and Nasopharyngoscopy detected 75% accurate results. Conclusion: Our study concluded that Valsalva test although 83% accurate, is a subjective test. Siegalization with 88% accuracy provided correct results only in cases with small to medium central perforation. Ear drop test, the result depends on the size and location of the perforation. Nasopharyngoscopy is a accurate, non-invasive test to visualize nasopharyngeal pathology. Tympanometry is easy to carry out and when followed by Toynbee test in patients without a patent eustachian tube on tympanometry, provided with 91% accurate results