Background: Chronic Suppurative Otitis Media (CSOM) is a chronic inflammation in middle ear that marked hy the presence of perforation on tympanic membrcme and history of discharge from ear more than 2 months. Unscrfe CSOM is CSOM with cholesteatoma and causes extra cranial and intracranial complications. The aim of this study w as to assess the characteristics of clinical sign in patients of u…