Fungal infection of the external ear canal and auricle is a common source of concern to the otolaryngologist. It is highly prevalent in hot, humid and dusty areas of the tropics and subtropics. Refractory cases of Otomycosis pose a challenge to the clinician to determine whether the external ear disease is an isolated entity, or related to any other systemic disorder, or the result of an underlying immunodeficiency disorders. Otomycosis can also be associated with chronic middle ear disease and open mastoid cavity infection. The various synonyms such as ‘Singapore ear’, ‘hot weather ear’ or ‘mildew ear’ were all caused by bacterial agents but not by fungal agents as previously suspected. Thorough understanding of anatomy and physiology of the external ear canal is necessary for Management of the otomycosis. Knowledge of the microbiology of potential pathogens and familiarity with clinical presentation is necessary for accurate and timely diagnosis.

Otomycosis, culture, KOH mount, aspergillus, candida, clotrimazole.