Muhammad Shafi, Ikram Din Ujjan.
Otomycosis – a Clinico-pathological Study.
J Surg Pak Jan ;21(4):145-8.

Objective: To determine the frequency of different fungal isolates involved in otomycosis along with their mode of presentation and outcome of treatment modalities. Study design: Descriptive Study. Place & Duration of study: Departments of E.N.T, Head & Neck Surgery and Department of Pathology, Liaquat University Hospital Hyderabad, from August 2014 to July 2016. Methodology: All patients of either age and gender who attended the E.N.T. outpatient department with the clinical diagnosis of otomycosis were included in the study. Results: A total of 164 patients were managed. There were 93 (56.7%) males and 71 (43.39%) females. Age ranged from 4-73 year with mean age of 35.33 year. Considering each ear as a separate entity, 125 (60.38%) sample ears were right sided and 82 (39.61%) left sided, with a total of 207 sample ears. The most common clinical feature in this study was blockage of the ear which was noted in 136 (65.70%) sample ears. The most common fungal specie isolated was Aspergillus niger (n= 56 - 27.05%). Clotimazole 1% solution proved to be very effective to achieve clinical cure in 191(92.27%) sample ears within a short span of time. Conclusions: Otomycosis a disease of inner portion of external auditory canal was more common in males. The common predisposing factors were ear poking and use of antibiotics / steroid otic drops. Aspergillus Niger was the commonest specie isolated. Clotrimazole 1% solution proved to be effective for clinical cure followed by 2% salicylic acid in rectified spirit.

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