“…Obligatory major criteria for diagnosing MOE are ‘Pain…oedema, exudate, granulations…in the external auditory canal, microabscess (when operated), positive bone scan technetium‐99 ( 99 Tc), failure of local treatment of more than 1 week.’ Pseudomonas aeruginosa is the commonest organism, then fungi, staphylococci, Proteus spp, and Klebsiella . Mortality has fallen from 50% to 10–20% 5 …”