Chronic suppurative otitis media is a common problem in developing countries. Complications due to chronic suppurative
otitis media still pose a major problem in the developing countries. In cases of chronic suppurative otitis media associated with
complications, after managing the complications, mastoid exploration should be done to remove the primary source of infection.
Planning of mastoid exploration play an important role in the management. Here the management of primary otogenic septic foci,
after the management of extracranial and intracranial complications is discussed.