Since the advent of the chemotherapeutic agents, the incidence of the complications of the chronic suppurative otitis media was markedly reduced as well as the severity. Furthermore, various new surgical approaches have been ingeniously devised, which together with generalized medical service delivery system and recent increase in public concern on the health matters further enhanced the reduction of these awful, sometimes even fatal, pathologic conditions. During last six years, we have experienced 45 cases of complicated chronic suppurative otitis media. 31 showed intracranial involvements and 14 purely otologic. Cholesteatoma was found in 33 cases.
Operative findings were as follow.