Abstract
This prospective descriptive study was conducted to determine the clinical presentation and treatment outcome of otomycosis, in the department of ENT and Paediatrics at Ghulam Muhammed Mahar Medical College hospitals Sukkur , from March 2007 to March 2010. Hundred cases of Otomycosis who were 5-50 years of ages, of both sexes, all were selected from OPDs of both departments were included in the study. After obtaining written informed consent from patients/ parents, detailed medical histories were taken from all patients including the previous drugs, risk factors, clinical examination and culture done in 26 patients only. After proper suction, clearance of fungal discharge, along with topical application of Clortimazole was carried out and minimum follow–up of 6 weeks were carried out. Out of 100 cases 60 were females and majority were in the age group of 20-40 years. The unilateral ear presentation was in 90 % of cases, ear pain was the most common symptom 60%, itching in 50% of cases, followed by aural fullness in 44% of cases and otorrhea in 26% of cases. The culture showed aspergillus niger 50% and candida species 11% the most common growth. Proper suction clearance of fungal discharge, along with topical application of Clortimazole cream was carried out. 96% of patients cured but in 20% of cases disease recurrence was noted. Otomycosis is more common in females than males, pain and itching most common presentation, can usually be diagnosed by clinical examination, and usually resolve with application of appropriate topical antifungal agents.

Key words: Otomycosis, Aspergillus Niger, Antifungal Application.