Dust
Assuming your room temperature has remained constant, the answer is "dust".
These modified cases we have with fifteen intake fans and 38,00 RPM CPU fans suck up dust like crazy.
I've got a Swiftech MCX370 heatsink for my CPU. It has a bunch of grooved pins sticking out of the base that get loaded with dust over time. I can gradually watch my CPU temps rising. Every couple of months, I pull the fan off and run a business card in between all the pins to get the dusty gunk out, then clean the fan blades with cotton swabs. The best way to clean the heatsink, though, is to run it through the dishwasher. Obviously, I have to redo my thermal paste with this method, so I do it less frequently.
That's the price you pay for never vacuuming your room.