Secondary Fungus Ball Caused by a Retained Foreign Body in Maxillary Sinus.
10.3342/kjorl-hns.2014.57.2.132
- Author:
Young Jun CHUNG
1
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, Dankook University College of Medicine, Cheonan, Korea. entdocjung@hanmail.net
- Publication Type:Case Report
- Keywords:
Foreign body;
Fungus;
Maxillary sinus;
Sinusitis
- MeSH:
Adult;
Ambulatory Care Facilities;
Female;
Foreign Bodies*;
Fungi*;
Humans;
Maxillary Sinus*;
Orthognathic Surgery;
Physical Examination;
Sinusitis;
Tomography, X-Ray Computed
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2014;57(2):132-135
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Unilateral sinusitis can occur by various conditions, such as dental, neoplastic, fungal and foreign bodies. A 35-year-old woman visited our outpatient clinic with unilateral maxillary sinus lesion, which was detected incidentally on computed tomographic (CT) scan. A CT scan revealed a total opacification with focal calcification in the maxillary sinus, and a purulent discharge was detected in the middle and inferior meatus on the endoscopic exam. The patient had a history of two jaw surgeries 13 years ago. After widening the maxillary sinus ostium, a clay-like, dark brown colored fungus ball was found in the maxillary sinus. A surgical gauze was located in the center of this fungus ball. The fungus ball and foreign body were removed via an endoscopic approach. We present a secondary fungus ball caused by a long-term retained foreign body because this case underlies the importance of careful history taking, physical examination and gauze counting.
