Otomycosis, commonly known as fungal infection of the external auditory canal, is a superficial mycotic infection primarily caused by fungi such as Aspergillus and Candida species. This condition is prevalent in tropical and subtropical regions due to high humidity and temperature, which create a favorable environment for fungal proliferation. Common predisposing factors include poor ear hygiene, excessive ear cleaning, use of topical antibiotics or steroids, and underlying dermatological conditions. Clinically, otomycosis presents with symptoms such as itching, ear discharge, aural fullness, hearing impairment, and sometimes pain. Diagnosis is primarily clinical, supported by otoscopic examination and microbiological evaluation. Treatment involves meticulous cleaning of the ear canal, antifungal therapy, and management of predisposing factors to prevent recurrence. Despite being a benign condition, otomycosis has a high rate of recurrence, making patient education and preventive measures crucial for effective management.
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