| A Case of Aspergillus Fungal Ball Confined to the Eustachian Tube |
Seokhwan Lee
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| Department of Otorhinolaryngology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea |
| 이관 내에 국한된 아스페르길루스 진균구 1예 |
| 이석환
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| 인제대학교 의과대학 해운대백병원 이비인후과학교실 |
| Correspondence |
Seokhwan Lee ,Tel: +82-51-797-2290, Fax: +82-51-797-2304, Email: entlsh85@gmail.com
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Received: 19 September 2024; Revised: October 9, 2024 Accepted: 24 October 2024. Published online: 3 December 2024. |
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| ABSTRACT |
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We present a case of an Aspergillus fungal ball confined to the bony portion of the Eustachian tube (ET) in a 59-year-old immunocompetent female with chronic otitis media. Preoperative CT revealed a soft tissue density in the bony ET, initially interpreted as mucosal edema. During endoscopic tympanoplasty using the underlay above-the-malleus technique and a 30-degree angled endoscope, a cheese-colored mass was discovered in the bony portion of ET and subsequently removed. Histopathological examination confirmed the lesion as an Aspergillus ball. In conclusion, the soft tissue density observed in the bony ET on the preoperative CT may be mistaken for mucosal edema, highlighting the importance of careful observation. Utilizing a 30-degree endoscope can enhance the visualization of ET. |
| Keywords:
Aspergillusㆍ Eustachian tubeㆍ Middle earㆍ Otitis mediaㆍ Tympanoplasty |
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