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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

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