Background: Chronic otitis media (COM) is a prevalent otological disorder causing persistent ear discharge, conductive hearing loss, and impaired quality of life with significant psychological and social impacts. Type I tympanoplasty is the standard surgical intervention aimed at restoring hearing and improving health-related quality of life (HR-QOL). Objectives: To assess disease-specific quality of life in COM patients undergoing Type I tympanoplasty using the COMOT-15 questionnaire, and to determine the correlation between hearing improvement and mental health outcomes. Methods: A prospective study was conducted at the Department of Otorhinolaryngology, Rama Medical College, Hospital & Research Centre, Hapur over 18 months (March 2024–December 2025). One hundred patients (18–50 years) with unilateral mucosal COM were enrolled. Preoperative and postoperative evaluations included pure tone audiometry (PTA) and COMOT-15 questionnaire. Type I tympanoplasty was performed using the postaural underlay technique with temporalis fascia graft. Results: Mean age was 31.07 ± 8.67 years with slight female predominance (54%). Medium central perforation was most common (39%). Air conduction threshold improved from 44.62 to 23.29 dB and air-bone gap reduced from 26.87 to 7.07 dB (p < 0.001). Graft uptake was successful in 96%. COMOT-15 scores decreased from 50.91 ± 12.59 to 15.80 ± 9.32 (p < 0.001). A strong positive correlation was found between hearing improvement and mental health outcomes (r > 0.92, p = 0.000). Conclusion: Type I tympanoplasty effectively improves hearing, disease-specific quality of life, and psychosocial well-being in mucosal COM patients. The COMOT-15 is a reliable tool for patient-reported outcomes assessment.

Chronic otitis media, Tympanoplasty, Quality of life, COMOT-15, Air-bone gap, Hearing improvement