2019, Number 4
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An Med Asoc Med Hosp ABC 2019; 64 (4)
Clinical presentation and endoscopic approach of frontal sinus recess fungal ball and secondary mucocele
Pirrón LJA, Hernández CLE
Language: Spanish
References: 10
Page: 302-306
PDF size: 186.81 Kb.
ABSTRACT
Fungal ball is the most common type of fungal rhinosinusitis. It is a variety of non-invasive rhinosinusitis (without tissue invasion) that typically occurs in immunocompetent patients. It is defined as an agglomeration of detrites and hyphaes within a paranasal sinus. Its most common location is the maxillary and sphenoidal sinuses, and the most frequently involved etiological agent is Aspergillus sp. Reports in the world literature of its presentation within the frontal sinus show an incidence of only 2% of the cases. A review of the literature on nasosinusal fungal balls and frontal mucoceles was made, taking as a reference the case of a 67-year-old male patient with a history of two craniotomies who presented with fungal ball in the frontal sinus recess and secondary mucocele that was managed by an endoscopic Draf IIa approach to the frontal sinus.
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