Abstract
We report two cases of tympanic perforation thought to have been caused by otomycosis of the external ear canal. One patient visited the author's clinic with the complaint of feeling like her right ear was plugged up, while the second patient presented with earache. Neither patient had a compromised immune system, and neither had a history of ear surgery. In both patients, white clusters were observed on the tympanum, and microbiological studies revealed Aspergillus sp. The ear canal was cleansed and irrigated with povidone iodine. Clotrimazole ointment and solution were applied externally, however, tympanic perforation occurred during the course of the treatment. The perforation was treated conservatively and spontaneous closure occurred within about two months. It is concluded that, if white clusters that appear like fungal growths are observed on the tympanum, they should be removed as thoroughly as possible and antifungal therapy should be initiated immediately. These steps are important for preventing tympanic perforation.
