Antimycotic therapy in otomycosis with tympanic membrane perforation

Especially after prolonged antibiotic ototopic therapy otomycosis is not ra re. An inoculation of fungi into the tympanic cavity however may have serio us sequelae. Therefore an eradication of fungi from the external auditory c anal is imperative before surgery. In addition to thorough cleaning of the outer ear canal antimycotic preparations are recommended in treating otomyc osis. However, all of the commercially available ear drops contain ototoxic agents. In the case of defects of the tympanic membrane a damage of the in ner ear may result. Alternatively, we suggest an aqueous solution of Micona zol 0,5%.