Suppurative otitis media is a common occurrence and so are its complications. Its various complications are of frequent occurrence in otorhinolaryngology clinics. The incidence of extracranial ones are still posing a problem to the otologists Present work has been, undertaken from September 2010 to September 2012 to study the incidence of extracranial complications in relation to suppurative otitis media and to study the clinical presentation and pathology of extracranial complications of suppurative otitis media. Total 6130 cases of suppurative otitis media were observed (23.96%). Out of these patients 4890 cases (19.11%) were having chronic suppurative otitis media (CSOM) and 1240 cases (4.85%) had acute suppurative otitis medi (ASOM).In the present study, it is seen that 23.96% of total patients were having suppurative otitis media. The incidence of complications due to ASOM is 1.45%. Mastoiditis comprises of 59.35% of total extracranial complications and is the commonest in the present series followed by subperiosteal abscess, labyrinthitis and facial palsy. The prevalence can be decreased by means of health awareness regarding how to take care of the ear and when to report the physician. KEYWORDS: Extracranial Complications, Middle ear infections, Clinicopathological study. INTRODUCTION:Suppurative otitis media is a common occurrence and so are its complications. The growing children are the worst sufferers of complications. Though the incidence of intracranial complications has appreciably reduced, the incidence of extracranial ones is still posing a problem to the otologists. Infections of middle ear cleft are very common in India. 40% of attendance in E.N.T. department of general hospitals consists of cases of infections of middle ear cleft. Contribution towards the treatment of this malady has yet to be achieved to a standard, in developing countries. India being a subcontinent where 80% of the population live in rural areas in the altar of poverty, ignorance, and illiteracy and lag behind in facilities of transport and early specialist advice.Thus patients attend outdoor chiefly with complications of suppurative otitis media. Further the indiscriminate use of antibiotics and ear drops have produced resistance strains of bacteria, the treatment of suppurative otitis media and its complications have undergone a revolutionary change in the hands of otologist. The ultimate aim of the otologist is to have an ear dry, socially useful and safe from the threatening complications. The present work has been designed to stress upon the clinico-pathological evaluation of extracranial complications of middle ear infections amongst the patients attending E.N.T. department of V.S.S. Medical College Hospital, Burla which is the tertiary apex hospital in whole of the western Odisha for specialized consultations so that we can predict the eventuality and also create the awareness among the public to prevent the complications.