Journal of Clinical Otolaryngology Head and Neck Surgery (임상이비인후과)

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery (대한이비인후과학회 부산,울산,경남 지부회)
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An Atypical Case of Chronic Invasive Fungal Sinusitis with Concurrent Fungal Ball

진균구를 동반한 비정형적 만성 침습형 진균성 부비동염 1예

  • Jung, Young Do (Department of Otorhinolaryngology, School of Medicine, Catholic University of Daegu) ;
  • Kim, Bo Mun (Department of Otorhinolaryngology, School of Medicine, Catholic University of Daegu) ;
  • Kang, Byung Jun (Department of Otorhinolaryngology, School of Medicine, Catholic University of Daegu) ;
  • Shin, Seung Heon (Department of Otorhinolaryngology, School of Medicine, Catholic University of Daegu)
  • 정영도 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김보문 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 강병준 (대구가톨릭대학교 의과대학 이비인후과학교실) ;
  • 신승헌 (대구가톨릭대학교 의과대학 이비인후과학교실)
  • Received : 2018.09.13
  • Accepted : 2018.11.27
  • Published : 2018.12.30

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Abstract

Chronic invasive fungal sinusitis (CIFS) is a relatively rare disease which occurs in immunocompetent or immunocompromised patients. We report a case of CIFS in ethmoid sinus with concurrent fungal ball in maxillary sinus. After surgical debridement and antifungal therapy, CIFS recurred with submucosal invasion in nasopharynx and osteomyelitis of clivus. Although CIFS encompasses a slowly progressing invasive fungal disease but potentially aggressive. It should be noted that CIFS could progress and extend through submucosal route without evidence of mucosal lesion.

Keywords

References

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