I think the custom 3's are (or were) considered their top of the line. I own a pair AND I bought a second pair in case I ever lost/broke the first. The spare pair is still sitting in my office drawer.
comfort: For me, they are comfortable. I've never worn ANY other so I can't compare agasint anything else. There are times the inners of my ears do feel a little 'sore' (strong word to use) because of the pressure. I attribute that mainly to me having never in my life used something like this and simply having nice, soft tender ears :) (kinda wants to make you cry, doesn't it?)
Durability: I can only speak to me...I'm sure someone else might have had theirs break in 2 minutes of receiving them. I've had mine now for probably 2 years. Use them over weekends and can use them for hours on end. I use them with some hearing protection muffs on OVER them to kill the engine noise of my tractor or backhoe or chainsaw. I took them on a 3 week trip to England, Italy and Turkey. Had them on in the rain. I keep my Ipod (it's the big one but I don't remember if that's 80 or 120G)...anyways, I put my Ipod in the C-3 case and place them in there with it, some might say I'm mashing them.
Sound quality: pfffft.... don't even ask 
Now...I WILL say that my cord has some ....what I'll call kinks in it. One is right at the plug. These DO annoy me as it makes me feel like the wires are very brittle. I'm not bashing them, just giving my honest feeling on how it makes me view them. That said, I've not had ANY issues with the wires, just that they 'feel' fragile and in fact, have a couple kinks in them.
I try to be careful with mine but I know there are many out there who are retentive careful. I'm not retentive careful (careful winding of cord, placing earbuds carefully into open space inside case)....nope... I tend to curl it up and mush them in there. I do try to be gentle about it.
So, you can count me in as a VERY happy camper with my first experience with these things, I always look forward to using them.
Oh... I think I use the large ovals. Started out with the mediums and found at times, one of them would simply pop out. I probably need something in between the two sizes. Don't like using the double flange when I'm out getting sweaty as ...how to say this... the angle of the earpiece (remember, I almost always have OVER ear protection on as well) seems to rotate. When the angle of the earpiece rotates and I'm using the DOUBLE flange, it seems the output hole gets moved to the wall of my ear and it kills the sound. The earpiece never really straightens itself out.
By using the 'round' piece, I can still get that change of angle cutout of sound BUT it will rotate back and I don't have to fiddle with it as much.
I don't know if that makes sense but it's what happens to me.