Chronic suppurative otitis media is an inflammatory process in the middle ear space which results inlongterm permanent changes in the tympanic membrane like cholesteatoma and here it is an acquired type. Cholesteatoma is an erosive process defined by trapped squamous epithelium that produces and accumulates desquamated keratin debris. The probability of cholesteatoma being associated with aural polyp is 70-80%, when it is composed of raw granulation tissue and keratin flakes and in contrast, if it is composed of fibrous core with a covering epithelium there are chances of cholesteatoma being absent. Here there is a case of 16 year old female patient presented to our ENT department with a complaints of hard of hearing since 2 months and pain in right ear since 1 month and tuning fork tests shows rinne's test negative in right ear and positive in left ear, weber's is lateralised to right ear for both 256Hz and 512Hz.
