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Aural aspergilloma: an unusual delayed complication of tympanoplasty

Pakpoom Supiyaphun1, Pichet Sampatanukul, Suwat Vongfu

  • 1Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.

Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|August 22, 2003
PubMed

Insights

Aural aspergilloma, a fungal ear infection, can manifest years after tympanoplasty. This study suggests it may be a delayed complication of the surgical procedure.

Area of Science:

  • Otolaryngology
  • Mycology
  • Infectious Diseases

Background:

  • Aural aspergilloma is a rare fungal infection of the ear canal.
  • Tympanoplasty is a surgical procedure to repair the eardrum.

Observation:

  • A second case of aural aspergilloma presented with chronic otorrhea through a tympanic membrane fistula.
  • The patient underwent surgical removal of the fistula, middle ear cleansing, and tympanomastoidectomy.
  • No antifungal agents were used during treatment.

Findings:

  • Both reported cases of aural aspergilloma occurred after successful tympanoplasty with a significant latency period.
  • The findings suggest a potential link between tympanoplasty and the subsequent development of aural aspergilloma.

Implications:

  • Aural aspergilloma should be considered a potential, albeit unusual, delayed complication following tympanoplasty.
  • Further research is warranted to understand the pathogenesis and risk factors for post-tympanoplasty aural aspergilloma.

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