Inclusion Criteria:  Adult patients greater than or equal to 18 years of age Diagnosis of Chronic Suppurative Otitis Media (CSOM)  Exclusion Criteria:  Atypical presentation of CSOM or atypical anatomy of the ear Presence of additional ear pathophysiology beyond CSOM Adults unable to consent Individuals who are not yet adults (infants, children, teenagers) Pregnant women Prisoners Non-English speaking