The choice of diagnostic technique will depend on the type of lesion that is presented. Where the lesion is superficial, such as an area of erythema, erosion, ulceration or primary lesions like papules or pustules, then acetate tape impression smears and direct and indirect smears are most useful. Where lesions are nodular then a fine needle aspirate is the diagnostic test of choice. Where the examination of otic cytology is needed samples of discharge can be taken from the ear using a swab.