Arch Craniofac Surg.  2023 Dec;24(6):288-291. 10.7181/acfs.2023.00353.

Periantral fungal abscess after zygoma reduction: a case report

• Kim KH
• Kim H
• Lim SY
• Koh IC

• KMID: 2549410
• DOI: http://doi.org/10.7181/acfs.2023.00353

Abstract

This case report describes our treatment of a persistent periantral abscess in a 35-year-old woman. The abscess developed following a zygoma-reduction surgery, during which a preexisting fungal ball had not been addressed. Our comprehensive treatment approach included functional endoscopic sinus surgery, fungal ball removal, abscess drainage, and debridement. Two weeks postoperatively, the patient’s symptoms had resolved. A 6-month postoperative follow-up revealed no signs of recurrence or complications, and the patient reported satisfactory functional and aesthetic results. This case underscores the importance of thorough preoperative evaluations and raises awareness about the potential risks of untreated asymptomatic pathologies, which can potentially progress and lead to further complications.

Keyword

Abscess / Allergic fungal sinusitis / Esthetics / Maxillary sinusitis