Removal of fungal ball from the jaws by lefort i osteotomy: Difficulty in diagnosing patients with chronic sinusitis.
Autor: | Bachesk AB; DDS, Resident in Oral and Maxillofacial Surgery at State University of Maringá - Maringá - PR - Brazil., de Souza VR; DDS, Intern in Oral and Maxillofacial Surgery at State University of Maringa - Maringá - PR - Brazil., Ricken CM; Undergraduate student in Dentistry at State University of Maringa - Maringa - PR - Brazil., Pierri RA; DDS, Resident in Oral and Maxillofacial Surgery at State University of Maringá - Maringá - PR - Brazil., Pavan AJ; PhD, Professor of Oral and Maxillofacial Surgery at State University of Maringá - Maringá - PR - Brazil. |
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Jazyk: | angličtina |
Zdroj: | Journal of clinical and experimental dentistry [J Clin Exp Dent] 2021 Mar 01; Vol. 13 (3), pp. e318-e322. Date of Electronic Publication: 2021 Mar 01 (Print Publication: 2021). |
DOI: | 10.4317/jced.57692 |
Abstrakt: | Aspergillosis, aka fungal ball (FB), is classified as a type of non-invasive fungal rhinosinusitis, which usually occurs unilaterally in the maxillary sinus of an immunocompromised patient. Its diagnosis is complex and depends on the association between clinical, imaging, and histopathological exams. There are many treatments for fungal infections of the paranasal sinuses, so early diagnosis is extremely important to determine the appropriate treatment. This paper reports an unusual clinical case of aspergillosis present bilaterally inside the maxillary sinuses of a healthy patient, associated with mucous retention cysts, whose imaging exams and transnasal endoscopy were not sufficient to precisely identify the lesion. Its diagnosis and definitive treatment were obtained only after orthognathic surgery and integration between a multidisciplinary team. Key words: Aspergillosis, communicable diseases, fungal ball, infectious disease, orthognathic surgery. Competing Interests: Conflicts of interest Author 1 declares that she has no conflict of interest. Author 2 declares that she has no conflict of interest. Author 3 declares that she has no conflict of interest. Author 4 declares that he has no conflict of interest. Author 5 declares that he has no conflict of interest. (Copyright: © 2021 Medicina Oral S.L.) |
Databáze: | MEDLINE |
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