Maxillary sinus fungus ball: a case report

Anahtar Kelimeler: Konik ışınlı bilgisayarlı tomografi; maksiller sinüs; mantar hastalıkları Introduction Paranasal sinus diseases consist the whole sinus pathologies with a wide range of diseases from inflammatory lesions to neoplasms.1,2 In recent years with the increased incidence of long antibacterial treatments high dose long term steroid treatments, radiotherapy treatment at dentomaxillofacial area and diseases or treatments that cause immunodeficiency the incidence of the fungal sinusitis have increased. [...]in rare cases fungal sinusitis may be seen in immunologically healthy patients.3 Fungal sinusitis constitutes 12% of the chronic sinusitis patients and 13-28% of the isolated maxillary sinus infections.4 The first possible report for the fungal sinusitis may be Plaignoud's case that reported a fungal tumor at a 22-year-old soldier with maxillary pain treated with cautery.5 There are 2 types of fungal sinusitis based on the penetration capability as invasive and non-invasive. In this type, fungal hyphae elements do not show invasion to the mucosa, they are rather inside the sinus.7 The aim of this case report is to present a patient with SFB who has facial pain that may be confused with dental pain. [...]sphenoid sinus fungus balls may cause visual disorders like unilateral vision loss, blurred vision and diplopia.12 Our patient had maxillary pain at the left side of her head and face for 2 years as well as nasal obstruction and nasal discharge.