Objective: To access results surgery of adhesive otitis media following classified and gradings system. Study design: Prospective, analysis of preoperative and postoperative results. Patients: we studied 45 cases with Adhesive otitis media. Intervention: Reconstruction wall of epitympanum, insertion of ventilation tubes with and without ossicular tympanoplasty. Results: the prevalent of local adhesive occupied 75.5 percent (34/45) and total adhesive was 24.5 percent (11/45) (p = 0.009 - X2 = 6.76). Ossicular erosion was 35.6 percent (16/45). The patient's preoperative and postoperative pure-toneaverage were 46.5 + or - 15.5 dB and 34.6 + or - 13.2 dB, respectively (p = 0.00001 - F statistic = 222), hearing result improved 11.7 dB postoperative. Conclusions: adhesive surgery improved symtoms and hearing results.