The microbiology of 12, 174 symptomatic ears presenting over an eingt-year period to one hospital was examined in detail. 1, 061 cases of fungal infection were found. The incidence and pattern of these fungi and the accompanying bacteria, in case of mixed infection, do not appear to have been affected by the widespread use of powerful topically-applied autibiotic/steroid preparations over more than two decades. Otomycosis remains an uncommon, often overlooked but important cause of morbidity in a temperate climate.