Aural aspergilloma: an unusual delayed complication of tympanoplasty
Supiyaphun, P.; Sampatanukul, P.; Vongfu, S.; Kerekhanjanarong, V.
Journal of the Medical Association of Thailand 86(Suppl): S358-S361
2003
ISSN/ISBN: 0125-2208 PMID: 12930011 Document Number: 2135
Aural aspergilloma was first reported in 2001 by the authors. Recently the authors discovered a second case presenting with chronic otorrhea via a fistulous tract in the tympanic membrane. The patient was treated by removal of the fistulous tract and part of the tympanic membrane, cleansing the middle cavity, leaving the tympanic membrane perforated until obtaining a dry ear and followed by a tympanomastoidectomy, without the use of an antifungal agent. Because both cases of aural aspergilloma had a history of successful tympanoplasty with a long quiescent period before the symptoms appeared, the authors postulate that aural aspergilloma may be considered as an unusual delayed complication of tympanoplasty.