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양측성으로 인접하지 않은 부비동들에 발생한 다발성 진균구

A Case of Multiple Discrete Fungus Balls of the Bilateral Paranasal Sinuses

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참고문헌

키워드

주제분류이비인후과학

초록

Fungus balls of the paranasal sinuses are usually found in only one sinus, most frequently in the maxillary sinus. Multisinus involvement was found only in 6.4% of the largest review of this disease entity. Though fungus ball could be involved in multiple sinuses, these sinuses were mostly contiguous. In addition, bilateral involvement is rare in the literature:only one case of triple discrete fungus balls in a patient has been reported. We recently experienced a rare case of multifocal discrete fungus ball involving the bilateral maxillary sinus and left sphenoid sinus in a 58 year-old female. Therefore, we present this rare case with a brief review of this disease entity.

Abstract

Fungus balls of the paranasal sinuses are usually found in only one sinus, most frequently in the maxillary sinus. Multisinus involvement was found only in 6.4% of the largest review of this disease entity. Though fungus ball could be involved in multiple sinuses, these sinuses were mostly contiguous. In addition, bilateral involvement is rare in the literature:only one case of triple discrete fungus balls in a patient has been reported. We recently experienced a rare case of multifocal discrete fungus ball involving the bilateral maxillary sinus and left sphenoid sinus in a 58 year-old female. Therefore, we present this rare case with a brief review of this disease entity.

참고문헌 (11)

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  4. 이정래, "접형동에 국한된 병변:17 증례의 임상적 고찰", 대한이비인후과학회지 두경부외과학, 45(3), pp.249~253 (2002), 대한이비인후과학회
  5. Lee BJ, "Fungal sinusitis: Clinical features and treatment outcomes with emphasis on endoscopic sinus surgery", Korean J Otolaryngol-Head Neck Surg, 41(3), pp.318~322 (1998)
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  7. Tsai TL, "The role of ostiomeatal complex obstruction in maxillary fungus ball", Otolaryngol Head Neck Surg, 134(3), pp.494~498 (2006)
  8. Legent F, "The role of dental canal fillings in the development of Aspergillus sinusitis. A report of 85 cases", Arch Otorhinolaryngol, 246(5), pp.318~320 (1989)
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  11. Ferguson BJ, "Fungus balls of the paranasal sinuses", Otolaryngol Clin North Am, 33(2), pp.389~398 (2000)

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