Efficacy of Self Vs. Physician Application of Triamcinolone-Econazole in Otomycosis

Inclusion Criteria: * 1.The chief complaint was ear discomfort, including tinnitus, a feeling of blockage or fullness, pruritis, otalgia, otorrhea and decreased hearing; 2. Physical examination findings:presence of fungal hyphae or accumulations that appear creamy or cheese-like or resembling abnormal earwax (crusts, films) , skin redness, erosion, swelling, or granulation tissue within the ear canal; 3. Positive results in fungal culture. Exclusion Criteria: * The exclusion criteria included otitis media, tympanic membrane perforation, and conditions post-radiotherapy.