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KMID : 0361020100530050316
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Korean Journal of Otolaryngology - Head and Neck Surgery
2010 Volume.53 No. 5 p.316 ~ p.319
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A Case of Chronic Invasive Fungal Sinusitis Invading Pterygopalatine Fossa
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Kim Dong-Kee
Nam Seung-Kyu
Lee Kyeong-Ah
Cho Jin-Hee
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Abstract
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Chronic invasive fungal sinusitis is a slowly destructive process that most commonly affects the ethmoid and sphenoid sinus, but may involve any paranasal sinus. The disease typically has a time course over 12 weeks. Pathologically, it is characterized as a dense accumulation of hyphae, occasional vascular invasion and sparse inflammatory reaction with involvement of local structures. Aspergillus fumigates is the most common pathogen. In this report, we present a patient with chronic invasive fungal sinusitis invading pterygopalatine fossa, which was presented as only mild thickening of posterior wall of maxillary sinus at initial CT scan.
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KEYWORD
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Invasive aspergillosis, Pterygopalatine fossa
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