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Similar Publications

Orbital floor defect caused by invasive aspergillosis: a case report and literature review.

Arch Craniofac Surg

February 2024

Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.

Article Synopsis
  • - Fungal sinusitis, though rare, is increasingly common and can lead to serious complications like orbital invasion resulting in symptoms such as eye swelling and vision problems.
  • - A case is presented involving a 62-year-old man with a history of lung cancer who suffered from facial pain and was found to have severe sinus and orbital issues due to invasive fungal infection.
  • - The patient underwent surgery, including sinus debridement and orbital floor reconstruction, receiving antifungal treatment afterward, which successfully prevented any lasting eye complications.
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Background/aim: The prevalence of chronic sinusitis (CS) in Europe is greater than 10%. The causes of CS are diverse. In some cases, dental treatment in the maxilla as well as fungal infection, such as aspergilloma, can lead to CS.

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Background: Endoscopic transsphenoidal surgery (eTSS) is a well-established approach for resection of skull-based pathologies such as tuberculum sellae meningiomas; however, central nervous system (CNS) fungal infection is a potential complication, particularly in a patient with concomitant sinusitis.

Observations: A 58-year-old woman with a tuberculum sellae meningioma causing progressive visual disturbance and concurrent asymptomatic chronic maxillary sinusitis underwent eTSS. Six months later, a de novo dura-based mass with peripheral edema, which was assumed to be an aggressive metachronous meningioma, developed in the middle cranial fossa.

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Background: Aspergillosis is caused by fungi from the species, mainly . Patients with aspergillosis typically have an underlying immunosuppression, and it is rare within the central nervous system (CNS) in an immunocompetent host. The mortality rate is as high as 90% if untreated, and the diagnosis is usually delayed due to nonspecific clinical presentation.

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[Unilateral diseases of the maxillary sinus].

HNO

August 2020

HNO-Klinik, Städtisches Klinikum Karlsruhe, Karlsruhe, Deutschland.

Unilateral diseases of the maxillary sinus are among the most common rhinologic diagnoses. The diversity of these diseases can represent a challenge for the treating physician. The spectrum ranges from harmless maxillary sinus cysts that seldom require treatment, to highly aggressive malignant tumors.

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