Objective: This study aims to assess the association between Sensorineural hearing loss (SNHL) and safe mucosal chronic suppurative otitis media (CSOM) and its relation to patient’s age, sex, and duration of the disease. Methods: 100 patients with unilateral mucosal type of CSOM with normal contralateral ear were included in the study. The infected ear was taken as the study ear and normal ear as the control ear. All patients underwent hearing assessment by pure tone audiometry for both ears. Results were analyzed in all patients for both study and control ears using parameters of patient’s age, sex, duration of disease and speech frequency. Results: There were 7% of the studied patients having sensorineural element hearing loss. The incidence increased with age of the patient and duration of the disease. Conclusion: Safe mucosal CSOM can cause significant SNHL and risk increases with increasing age of the patient and duration of the disease.