Methodology
A literature review identified 15 papers, which were filtered down to 6 relevant papers with case series of tympanic membrane perforations secondary to fungal otitis externa in humans in the English literature after the following search was carried out (((perforation) AND (tympanic membrane)) AND ((otomycosis) AND fungal otitis externa) in pubmed on 30/3/21
These were reviewed and the findings presented together with our two cases which provide photodocumentation to further add to the literature. The SCARE criteria was used to report these cases