鼻副鼻腔真菌症の臨床的観察:副鼻腔真菌症8症例

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We reviewed 8 cases of the paranasal sinuses that were treated at our department between 1977 and 1985, with respect to clinical picture, predisposing factors, diagnosis.<BR>The 8 patients (2 males and 6 females), ranged in age from 25 to 59 yea r s. The most common chief complaint was cheek pain followed by toothache, nasal obstruction, and rhinorrhea.<BR>In all c ases, mycosis was confined to an unilateral maxillary sinus. In one case, we found candida and in the remaining cases aspergillus. In two cases, bony erosion was noted in the medial wall of the maxillary sinus by X-ray examination.<BR>Mycotic culture of the fluid, which was taken by antralirr igation, and the necrotic debris did not reveal mycosis, but its cytological analysis leaded to the definitive diagnosis of mycosis prior to the operation in 3 cases.<BR>However, the remaining 5 cases were diagnosed by pathological examination of mucosa taken during operation. In 6 cases, surgical procedures were performed and in 2 cases, only antral irrigation were performed, which resulted in cure without systemic nor local antifungal therapy. We considered systemic, local and host-parasite factors as etiological factors in these cases.
耳鼻咽喉科臨床学会の論文