Korean Journal of Oral and Maxillofacial Radiology  2010;40(4):187-189

Aspergilloma of the maxillary sinus: report of a case.

Ju Han KANG 1 ; Jae Jung YU ; Gyu Tae KIM ; Yong Suk CHOI ; Eui Hwan HWANG

Affiliations

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Keywords

Aspergillosis; Paranasal Sinus Disease; Maxillary Sinus

Country

Republic of Korea

Language

English

Abstract

Aspergilloma of the paranasal sinus is a non-invasive form of aspergillosis, most often in the maxillary sinus. This case presents an 86-year-old female with aspergilloma of the left maxillary sinus. The patient's chief complaint was intermittent pain on the left maxillary first premolar area. A radiopacification of the left maxillary sinus was observed on the panoramic radiograph. Cone-beam computed tomography revealed complete radiopacification of the left maxillary sinus and scattered multiple radiopaque mass inside the lesion. Biopsy was performed under local anesthesia. On microscopic examination, numerous fungal hyphae, which branch at acute angle, were observed. The diagnosis was made as an aspergilloma based on the histopatholgic examination.