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Case Reports
. 2020 Dec 14;9(4):1865-1869.
doi: 10.1002/ccr3.3665. eCollection 2021 Apr.

Spontaneous healing in maxillary fungus ball: Beware of asymptomatic patients

Antonio M Bulfamante  1 , Carlotta Pipolo  1 , Umberto D'Agostino Fiorenza  1 , Flavio Arnone  1 , Paolo Lozza  1 , Giovanni Felisati  1 , Alberto Maria Saibene  1
Affiliations
Case Reports

Spontaneous healing in maxillary fungus ball: Beware of asymptomatic patients

Antonio M Bulfamante et al. Clin Case Rep. .

Abstract

Incidentally diagnosed, asymptomatic, paranasal fungus ball might occasionally undergo spontaneous healing. Accurate preoperative workup may avoid unnecessary surgical or anesthesiological procedures.

Keywords: computed tomography; dental disease; endoscopy; maxillary sinus; paranasal sinus; rhinosinusitis.

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Coronal head CT scan image showing a right fronto‐ethmoid‐maxillary sinus opacification, with a dental implant protruding into the right maxillary sinus
FIGURE 2
FIGURE 2
Coronal head CT scan image showing hyperdense floccular bodies floating amid the isodense opacity, suggesting the diagnosis of a paranasal sinus fungus ball
FIGURE 3
FIGURE 3
T1‐weighted coronal head MR image showing complete healing of the right maxillary sinus, with a wide antrostomy‐like aperture allowing for ventilation of the sinus
FIGURE 4
FIGURE 4
T2‐weighted coronal head MR image showing complete healing of the right maxillary sinus, with a wide antrostomy‐like aperture allowing for ventilation of the sinus
FIGURE 5
FIGURE 5
Flexible nasal endoscopy image of the right middle meatus showing a complete opening of the right maxillary sinus, without any residual sign of paranasal sinus fungus ball
FIGURE 6
FIGURE 6
Flexible nasal endoscopy image of the right maxillary sinus floor, showing a small amount of granulomatous tissue in adherence with the protruding dental implant
See this image and copyright information in PMC

References

    1. deShazo RD, O'Brien M, Chapin K, Soto‐Aguilar M, Gardner L, Swain R. A new classification and diagnostic criteria for invasive fungal sinusitis. Arch Otolaryngol Head Neck Surg. 1997;123:1181‐1188. - PubMed
    1. Kim DW, Kim YM, Min J‐Y, et al. Clinicopathologic characteristics of paranasal sinus fungus ball: retrospective, multicenter study in Korea. Eur Arch Otorhinolaryngol. 2020;277:761‐765. - PubMed
    1. Vinciguerra A, Saibene AM, Lozza P, Maccari A. Unusual case of bilateral maxillary fungus ball. BMJ Case Rep. 2016;2016:1–15.10.1136/bcr-2016-217930 - DOI - PMC - PubMed
    1. Kim JS, So SS, Kwon SH. The increasing incidence of paranasal sinus fungus ball: a retrospective cohort study in two hundred forty‐five patients for fifteen years. Clin Otolaryngol. 2017;42:175‐179. 10.1111/coa.12588 - DOI - PubMed
    1. Costa F, Emanuelli E, Franz L, Tel A, Sembronio S, Robiony M. Fungus ball of the maxillary sinus: retrospective study of 48 patients and review of the literature. Am J Otolaryngol. 2019;40:700‐704. 10.1016/j.amjoto.2019.06.006 - DOI - PubMed

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