title: Aural aspergilloma: an unusual delayed complication of tympanoplasty.
abstract: 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.
authors.affiliation: Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
authors.forename: Pakpoom
authors.initials: P
authors.lastname: Supiyaphun
authors.forename: Pichet
authors.initials: P
authors.lastname: Sampatanukul
authors.forename: Suwat
authors.initials: S
authors.lastname: Vongfu
authors.forename: Virachai
authors.initials: V
authors.lastname: Kerekhanjanarong
mesh_terms: D000328:Adult; D001228:Aspergillosis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D004427:Ear Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013997:Time Factors; D014433:Tympanoplasty / Q000009:adverse effects*