Korean J Oral Maxillofac Radiol.  2010 Dec;40(4):187-189.

Aspergilloma of the maxillary sinus: report of a case

Affiliations
  • 1Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University, Korea. hehan@khu.ac.kr
  • 2Department of Oral and Maxillofacial Radiology, Kangdong Sacred Heart Hospital, Hallym Medical Center, Korea.

Abstract

Aspergilloma of the paranasal sinus is a non-invasive form of aspergillosis, most often in the maxillary sinus. This case presents an 86-year-old female with aspergilloma of the left maxillary sinus. The patient's chief complaint was intermittent pain on the left maxillary first premolar area. A radiopacification of the left maxillary sinus was observed on the panoramic radiograph. Cone-beam computed tomography revealed complete radiopacification of the left maxillary sinus and scattered multiple radiopaque mass inside the lesion. Biopsy was performed under local anesthesia. On microscopic examination, numerous fungal hyphae, which branch at acute angle, were observed. The diagnosis was made as an aspergilloma based on the histopatholgic examination.

Keyword

Aspergillosis; Paranasal Sinus Disease; Maxillary Sinus

MeSH Terms

Aged, 80 and over
Anesthesia, Local
Aspergillosis
Bicuspid
Biopsy
Cone-Beam Computed Tomography
Female
Humans
Hyphae
Maxillary Sinus
Paranasal Sinus Diseases
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