The study explores the possible association of sinonasal symptoms with ear disease. The subjects were patients with ear problems which were categorised as group A – patients with external ear problems (15%), group B1 – patients with middle ear mucosal disease, (30%), B2 – patients with squamous disease and group C – patients with inner ear disease. Assessment of sinonasal symptoms was via the Dundee Rhinogram. The mean sinonasal symptom scores for groups A, B1,B2 and C were 0.8, 5.94, 0.72 and 1.65 respectively. The association between middle ear mucosal disease and sinonasal symptoms was statistically significant. Some previous studies have shown association between septal deviation, nasal polyposis and eustachean tube dysfunction. One interesting aspect of this study was lack of association between squamous middle ear disease and sinonasal symptoms and it is believed that the link with acquired cholesteatoma may be indirect. The study has its limitations and only sinonasal symptomatology is considered.