Dr. Akram QM Al- Hashimi, Dr. Imad MY Al Kachache, Dr. Nabeel Ahmed Dawood
Otomycosis is a common disease of ears with some difficulty in our practice because of the disease had some resistance to treatment and it has high recurrence in our humid region. To determine the fungal species in our sociality as well as to commonly used antifungal agents and research for the common reasons of antifungal resistance. We conducted an experimental descriptive study of 274 clinically diagnosed with fungal infection of the ear 1/7/2017-1/5/2019.Ear swab were collected for direct microscopic examination and fungal culture.244 patients clinically diagnosed proved by direct slide and culture treated with antifungal Tolnaftate and Clotrimazole and obtained good results nearby in comparing other results with recurrence rate total 5.32%.We found a safe method in treating the difficult cases of otomycosis when the mass of fungi was adherent to skin with presence of inflammation of skin around it by applying of antifungal mixed with steroid for 2 days then washing done easily to extract the mass from the external ear then use antifungal. Conclusion: According to the result of this study, systemic antifungal treatment not play a role in treatment of otomycosis. Using cream antifungal agents get quick resolution of symptoms but it has high recurrence rate. Otomycosis depend on many factors (risk factors) and it differ from region to region in the world depending on the climate.