CSOM is a commonly occurring clinical condition in Indian population especially in poor & underprivileged children. It is an important cause of hearing loss, particularly in the developing world. The approach to treatment has been unsatisfactory, expensive and often difficult; and drugs are potentially ototoxic. However, such a treatment does not always provide satisfactory improvement in hearing, and is inaccessible in many developing countries.Considering all these points, there is a need to evolve out a safe drug which is economical and within the reach of common people. In Ayurveda various formulations are described under Karnaroga Chikitsa Ādhyāya, which signifies the scope of research for better approach to the disease CSOM.