Aim: Assessment of degree of hearing impairment and Eustachian tube dysfunction (ETD) along with its correlation with various stages of Oral Submucous Fibrosis (OSMF). Patients and Methods: Present study was conducted on 102 individuals including 51 OSMF patients (102 ears) and 51 healthy controls (102 ears). All were evaluated for hearing impairment and ET function by Pure Tone Audiometry and Impedance Audiometry, and correlated with various stages of OSMF. Results: Hearing impairment and ETD was found to be statistically significant in OSMF patients as compared to normal patients. Severity of Hearing Impairment was found more in advanced stage of fibrosis i.e Clinical Stage III & Functional stage C. Mild to Moderate type of Hearing loss was seen more in Stage IIIC. ETD was also predominantly present in Stage IIIC OSMF patients. Correlation of age with various clinical & functional stages was found to be positive. Correlation of different clinical & functional stages of OSMF with Hearing Loss after Pure Tone Audiometry, ETD after Impedance Audiometry was found to be positive. Conclusions: From the present study it is evident that that with advancing stages of OSMF conductive hearing impairment increases as well as ETD.