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Abstract Aims and objectives To study the clinical status of contralateral ear in cases of unilateral CSOM. Introduction In the medical field, understanding the clinical status of the contralateral ear in cases of unilateral Chronic Suppurative Otitis Media (CSOM) is crucial for effective treatment. This study was conducted at Shri Maharaja Ghulab Singh Hospital in Jammu, India from November 2020 to October 2021, involving 105 patients who met the inclusion criteria. Materials and methods A thorough examination was carried out, including taking a detailed history of symptoms such as hearing loss, discharge, vertigo, tinnitus, and pain. An ENT examination was conducted, assessing the pinna, external auditory canal, tympanic membrane, and ossicles. Otoendoscopic examination of the ear and diagnostic nasal endoscopy were also performed to rule out any nasal pathology. Results Out of 105 patients in our study, 61 were females and 44 were males. The main presenting symptoms were ear discharge alone in 84 patients followed by associated hearing impairment in 15, and 6 patients had tinnitus. Among 105 patients, the duration of ear discharge from > 5 years was seen in 36 patients, followed by 1–2 years in 29 patients, 2–5 years in 22 patients, and from |