上顎洞アスペルギルス症の１例

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  • A case of aspergillosis of the maxillary sinus.

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In recent years, cases of paranasal aspergillosis have been increasing. W e recently encountered a case of aspergillosis of the maxillary sinus, which is relatively rare in the field of maxillofacial surgery. W e would like to present that case with review of the literature on this disease and discussion.<BR>The patient, a 42-year-old woman, visited our clinic complaining of pain in the right buccal region. She was diagnosed chronic maxillary sinusitis and treated with antibiotics and irrigation of maxillary sinus for about 2 weeks. Cheese-like lumps were removed from the maxillary sinus by the irrigation and histopathological examination of them showed fungus balls of aspergillus. Radical Caldwell-Luc operation was carried out on the right maxillary sinus under general anesthesia. After surgical removal of infected mucosa and fungus balls, irrigation with Amphotericin B was done for 10 days. The patient improved and 8 months after the operation was clinically free from aspergillosis.<BR>Aspergillosis of the paranasal sinuses is classified into 3 types: non-invasive, invasive and fulminant. Because the patient was not in immunodeficient condition, our case was thought to be a non-invasive type aspergilosis.

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