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Objectives: The aim of this study was to investigate the risk factors that may cause postoperative otomycosis in patients undergoing Chronic Nonsuppurative Otitis Media (CNSOM) surgery.

Methods: In this retrospective study, 409 out of 523 patients met the inclusion criteria. 44 patients diagnosed with otomycosis CNSOM were analyzed.

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Article Synopsis
  • Paecilomyces spp. are thermo-tolerant fungi that can cause various infections, notably in the paranasal sinuses and occasionally the ear, especially in immunocompromised individuals like diabetics.
  • A case study highlights a 41-year-old male army officer with a severe upper ear infection and intracranial abscess due to Paecilomyces, which was successfully treated through surgery and antifungal medication.
  • The findings underscore the importance of early detection and treatment of such rare fungal infections to prevent serious complications and differentiate them from similar conditions like cholesteatoma.
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Background: Otomycosis is a fungal infection of external auditory canal with worldwide prevalence of 9% to 30%. Treatment includes elimination of predisposing factor, thorough canal cleaning and topical or systemic antifungal agents. Clotrimazole is a specific topical antifungal agent with effectiveness varying from 95% to 100%.

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Efficacy Analysis of Endoscopic Type 1 Tympanoplasty for Chronic Suppurative Otitis Media with Otomycosis.

Ear Nose Throat J

November 2024

ENT Institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.

Article Synopsis
  • A retrospective analysis was conducted on 431 patients with chronic suppurative otitis media (CSOM) to evaluate the effects of tympanoplasty, comparing those with otomycosis to those without.
  • The study found similar graft uptake rates (94.57% for those with otomycosis vs. 96.06% for those without) and no significant differences in hearing improvement, as measured by air-conduction thresholds and air-bone gaps.
  • Culture results revealed that the most common fungal infections included specific genera, and overall, CSOM patients with otomycosis can safely undergo tympanoplasty without negatively impacting their surgical outcomes.
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To compare the efficacy of gel foam-soaked pyodine with a single topical application of clotrimazole ointment in the treatment of otomycosis. This randomized controlled trial included 90 patients who presented to ENT OPD with complaints of earache, watery ear discharge, pruritis, and ear blockage and were clinically diagnosed as a case of otomycosis via otoscopy. The external auditory canal of the patient was cleared of fungal debris via suction before treatment.

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