This prospective study was done to compare the different aspects oftubotympanic (group I) and atticoantral types (group II) of chronic suppurative otitis media. The study included 200 patients of chronic suppurative otitis media, of them 100 were oftubotympanic type and 100were with atticoantral disease. The age (mean :tSD). of group I and II were 17 :t2.7 years and 12:t2.3 years respectively (P<0.05). The majority of the patients having poor socio-economic condition 69% in group I and 87 % in-group 11.