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Myringoplasty is one of the most commonly performed surgical procedures by the otorhinolaryngologists all over the world. Aim of my study is to study Eustachian tube function and mastoid pneumatization on graft uptake and hearing status after Myringoplasty. The study includes 50 Patients diagnosed with chronic otitis media and conductive hearing loss. The exclusion criteria are bilateral chronic otitis media and acute otitis media, coexisting nasal pathology, and recurrent episode of URTI. Based on my study, there is no definite relationship between pre-op status of Eustachian tube function and pre-op degree of mastoid pneumatization on result of Myringoplasty.