Maxillary sinus fungus ball: a case report

Objective & Hypothesis:Introduction: Sinus fungus ball is a non-invasive sinus disease and the incidence of this disease has increased in recent years.

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Key Findings & Data:Case Report: A 40-years-old female patient referred to Recep Tayyip Erdoğan University Faculty of Dentistry, Oral and Maxillofacial Radiology department with the complaint of pain in the head and orofacial region.

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Conclusion & Impact:Conclusion: Dentists must be aware of maxillary sinus fungal infections in patients with facial pain.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Konik ışınlı bilgisayarlı tomografi · maksiller sinüs · mantar hastalıkları

Abstract

Introduction: Sinus fungus ball is a non-invasive sinus disease and the incidence of this disease has increased in recent years. The aim of this case report was to present the radiographic and clinical findings of a patient who was diagnosed with a sinus fungus ball. Case Report: A 40-years-old female patient referred to Recep Tayyip Erdoğan University Faculty of Dentistry, Oral and Maxillofacial Radiology department with the complaint of pain in the head and orofacial region. Any dental reason that may cause the pain was not detected, however, a foreign body at the left maxillary sinus was seen on a panoramic radiograph taken from the patient. Then, cone-beam computed tomography images were obtained. These images revealed total opacification of the left maxillary sinus with calcified areas. Due to the complaint of the patient and clinical and radiographic findings magnetic resonance images were obtained with the initial diagnosis of possible fungal sinusitis. Magnetic resonance images supported this diagnosis. Upon this, the patient was operated and histopathological examination was made. The presence of fungus compatible with the Aspergillus type was confirmed with histopathologic examination. Conclusion: Dentists must be aware of maxillary sinus fungal infections in patients with facial pain.

Özet

Tanıtım: Sinüs mantar topu benign non-invaziv sinüs hastalığıdır ve bu hastalığın görülme sıklığı son yıllarda artmıştır. Bu olgu sunumunun amacı sinüs mantar topu tanısı konulan bir hastanın klinik ve radyolojik bulgularını sunmaktır.Olgu Bildirimi: Kırk yaşında kadın hasta, baş ve orofasiyal bölgede ağrı şikayetiyle Recep Tayyip Erdoğan Üniversitesi Diş Hekimliği Fakültesi Oral ve Maksillofasiyal Radyoloji Anabilim dalına başvurdu. Hastadan alınan panoramik radyografide dental ağrıya neden olabilecek herhangi bir etken gözlenmemekle birlikte, sol maksiller sinüste yabancı cisim saptandı. Bunun üzerine hastadan konik ışınlı bilgisayarlı tomografi görüntüleri elde edildi. Bu görüntülerde sol maksiller sinüste kalsifiye bölgeler içeren total opasite saptandı. Hastanın şikayeti ile yapılan klinik ve radyografik muayene sonucunda fungal sinüzit ön tanısı ile hastadan manyetik rezonans görüntüleme (MRG) istendi. MRG görüntüleri bu tanıyı destekledi. Bunun üzerine hasta opere edilerek histopatolojik inceleme yapıldı. Histopatolojik incelemede Aspergillus tipinde fungus ile uyumlu olduğu doğrulandı. Sonuç: Diş hekimleri fasiyal ağrısı olan hastalarda fungal enfeksiyonların etken olabileceğinin farkında olmalıdır.

Keywords

Konik ışınlı bilgisayarlı tomografi maksiller sinüs mantar hastalıkları Cone-beam computed tomography maxillary sinus mycoses

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Cite This Article

TOMRUKÇU, D., KÖSE, T., DURSUN, E. (2020). Maxillary sinus fungus ball: a case report. Acta Odontologica Turcica, Cilt: 37 - Sayı: 2, 54–57. https://ajindex.com/articles/265305

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