上顎洞真菌症の2例

概要

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Maxillary sinus mycosis is a comparatively rare disease, but its incidence has recently been elevating.<BR>Generally, many of the reports have come from the oral field and a few from the oral surgical fi eld. We would like to report here 2 cases of maxillary sinuous mycosis which we have resently experienced.<BR>Case 1 is a 50-year-old woman, who came to our hospital with swelling and tenderness in the right alar part as CC. Fungal mass detected at the first examination led us to perform Caldwell-Luc operation. Its isolated matter was fungal culture negative, but its pathohistological preparation revealed a fungal mass suggestive of Aspergillus.<BR>Case 2 is a 38-year-old woman, who came to our hospital with postnasal discharge and pain in the left buccal region at CC. CT revealed a high density shadow suggestive of fungal ball. The same Caldwell-Luc operation was performed on this patient suspected of mycosis. Its isolated matter was fungal culture negative, but its pathohistological preparation revealed a fungal mass suggestive of Aspergillus.<BR>Now, more than one year after operation, both cases are getting well without relapse.