중이염 수술 후 발생한 안면신경마비를 동반한 침윤성 Aspergillus감염에 의한 중이염

The cases of invasive aspergillosis in the head and neck are infrequent and generally limited to the paranasal sinuses. Aspergillus involvements of the ear is a very rare entity, which is almost seen in immunocompromised patient, such as those with leukemia, aquired immunodeficiency syndrome and diabetes mellitus. Because invasive fungal otitis media is often misdiagnosed as malignant otitis externa. Early diagnosis, aggressive debridement, antimycotic therapy and resituation of immunocompromised conditions are required. The author report a case of invasive aspergillus infection of ear with facial paralysis who was treated with open cavity mastoidectomy and maintenance of antifungal drug. (J Clinical Otolaryngol 2012;23:253–257)