A Case of Isolated Frontal Fungal Sinusitis with Orbital Complication.
- Author:
Jin LEE
1
;
Nam Chul BYUN
;
Min Ho SEO
;
See Young LEE
Author Information
1. Department of Otolaryngology, Presbyterian Medical Center, Chunju, Korea. drsuejin@hanmail.net
- Publication Type:Case Report
- Keywords:
Frontal sinus;
Frontal sinusitis
- MeSH:
Aspergillus;
Candida;
Ethmoid Sinus;
Frontal Sinus;
Frontal Sinusitis;
Fungi;
Hand;
Maxilla;
Maxillary Sinus;
Meningitis, Fungal;
Orbit*;
Osteomyelitis;
Sinusitis*;
Skull Base;
Sphenoid Sinus
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2005;48(2):275-278
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The most commonly involved sinus of fungal infections is maxillary sinus, followed by sphenoid sinus and ethmoid sinus. On the other hand, the frontal sinus is only occasionally affected. Common pathogenic organisms related to fungal sinusitis are species of Aspergillus, dematiaceous fungi or zygomycetes; however, species of candida are rarely reported. In the invasive fungal sinusitis, orbital invasion, invasion and destruction of the skull base with a fungal meningitis, and fungal osteomyelitis with complete destruction of the maxilla have all been reported. Although these occurrences can not be explained, orbital complications have been reported in the noninvasive paranasal sinus mycosis. The treatment of paranasal fungus ball is primarily by surgical removal. In the past, fungus ball of frontal sinus was approached externally; however, this has been largely replaced with the endonasal endoscopic technique. We experienced a case of frontal fungal sinusitis with orbital complication, which was successfully treated by endonasal endoscopic frontal sinusotomy. In this paper, we report this case with a review of literature.
