上顎洞アスペルギルス症の1例

概要

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Recently, fungus infections seem to have increased with advent of therapy using antibiotics and steroid hormones. This report concerns our experience with a rare case of aspergillosis of the paranasal sinus. The case concerns a 52 year old male, who came to our clinic complaining of a swelling in the right cheek region. Extraoral examination showed that he had obvious swelling of his right cheek and trismus. While intraoral examination showed diffuse swelling and palpated fluctuation in the 17-14 mucobuccal fold to the cheek. Radiographs showed opacification of the right maxillary sinus. Since antibiotic therapy still showed opacity of the sinus, a Caldwell-Luc procedure with the clearing of the maxillary sinus was performed and irrigation with antifungal solution followed. Afterwards, histological examinations revealed aspergillosis. Results of a 29 month postoperative follow-up examination showed no recurrence of the symptoms and the prognosis was satisfactory.
社団法人日本口腔外科学会の論文