He was the sport"s 24th yokozuna. He fought out of Miyagino stable and made his debut in the jonokuchi division in May 1903. He was undefeated in that tournament, recording seven wins, one draw and one no decision.
His second championship in January 1915, which he took with ten straight wins, saw him promoted to yokozuna.
Okuma Shigenobu presented a tachi, or long sword, to him. He was known for his wide variety of techniques, but at that time the most popular yokozuna was Hitachiyama and so his fighting style was regarded as unacceptable.
His record as yokozuna was 35 wins against 24 defeats, compared with 36 wins and only four defeats at ōzeki rank. He retired in May 1920.
He was head coach of Miyagino stable from 1916 until his death in 1956 (there was no mandatory retirement age for oyakata at that time).
He had insisted that his successor had to be a yokozuna, so it became inactive for a while. Eventually yokozuna Yoshibayama revived the stable and assumed the Miyagino name in 1960. On November 11, 2006, a monument to Ōtori was established in his home city of Inzai.