Vol.96 No.2 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 96 No. 2 February 2003
Clinical Study of Maxillary Sinus Mycosis
Norimasa Morita, Hisaki Fukushima, Takeshi Akisada and Tamotsu Harada
(Kawasaki Medical School)
This paper describes 22 cases (6 males and 16 females) with maxillary sinus mycosis treated in our hospital between January 1986 and December 2001.
None of the patients received long-term treatment with cortisone or antibiotic agents. Only 2 of the 22 cases had a chronic debilitating disease, namely diabetes and autoimmune disease, respectively.
CT scans were performed in 11 cases, and ostiomeatal obstruction or stenosis was found in 10 cases. Antral irrigation was performed in three cases, radical antrostomy of the maxillary sinus in 14, and endoscopic sinus surgery in 5. All patients were completely cured and there was no reccurence of symptoms in any patient on follow-up examination.
Fungal infections of the paranasal sinuses are associated with anatomical abnormality of the sinonasal tract rather than with immunocompromised states. In treatment, it appears to be important to improve ventilation of the maxillary sinus in surgery and to remove the fungus completely.
Key words : maxillary sinus, mycosis, fungal infections