Abstract: The aim of this study was to evaluate hearing and compare the hearing results of anterior atticoantrostomy with cortical mastoidectomy with attic reconstruction with or without ossiculoplasty to canal wall down mastoidectomy with ossiculotympanoplasty using tragal cartilage shielded by temporalis fascia. This was a prospective, analytical and longitudinal study which was conducted in the Department of Otorhinolaryngology, MBS Hospital kota, (Raj) From 1st Dec. 2015 to 30th Nov. 2016, included the patients with squamosal disease in age group of 15-45 years, having conductive hearing loss of 30 dB or more.