Even though the incidence as well as prevalence of CSOM has decreased in recent times it is still a national health problem. Chronic otitis media with perforation is often accompanied by varying degrees of hearing loss which causes significant physical and psychosocial problems. Tubotympanic type of chronic suppurative otitis media is characterized by a perforation of the pars tensa. Tympanic membrane perforations were classified into small, medium, subtotal and total perforations based on the number of quadrants involved, perforations limited to one quadrant were classified as small perforations, involving two quadrants as medium, three quadrants as subtotal and all the four quadrants with intact annulus as total perforations. We were able to find strong relation between duration of ear discharge and degree of hearing loss. The relation between the two was statistically significant also. The longer the duration larger the perforation and more the hearing loss.