| Popis: |
Background Otomycosis (or fungal otitis externa) is more common in hot, humid climates. Factors that predispose patients to otomycosis are the use of wide-spectrum antibiotics, trauma to the external ear canal, and close contact with water.The commonest finding is a black, grey, green, yellow or white discharge with debris that is often said to resemble wet newspaper.Treatment of otomycosis consists of toilet and removal of the debris but topical antifungal drops (e.g. clotrimazole or flumethasone with clioquinol) are usually used to expedite recovery. Material and methods The study was conducted among patients who presented to the outpatient department of ENT & HNS, SMHS, Srinagar with itching/pain of ear with or without aural fullness and tinnitus and diagnosed with otomycosis. After taking consent in the local language, a total of 93 patients were enrolled in the study. Results At followup 1 week after topical application of 1 % clotrimazole cream out of 84 patients with itching at first visit 91% of patients reported relief from itching while only 9% of patients reported no relief or minimal relief from itching, out of 76 patients with otalgia at first visit 92% of patients reported relief from otalgia while only 8% of patients reported no relief or minimal relief from otalgia and out of 40 patients with aural fullness at first visit 90% reported relief aural fullness while only 10% reported no relief or minimal relief from aural fullness. Out of 86 patients with fungal hyphae on examination at first visit, 91% had no hyphae while only 9% had residual hypahe/debris on examination at folllowup 1 week later. Out of 54 patients with erythema on examination at first visit, 91% had no erythema while only 9% had erythema on examination at folllowup 1 week later. Conclusion According to the results of our study topical application of 1% clotrimazole cream only once is a cost-effective and efficient treatment option for otomycosis. |
