J Med Assoc Thai 2003; 86 (6):358

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Aural Aspergilloma : An Unusual Delayed Complication of Tympanoplasty
Supiyaphun P Mail, Sampatanukul MP , Vongfu S , Kerekhanjanarong V

Aural aspergilloma was first reported in 2001 by the authors(1
>.
Recently the authors dis-
covered 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 asper-
gilloma 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.
Key word : Fungus,
Aspergillus
Species, Ear Surgery, Tympanoplasty, Complication

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