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KMID : 0361020140570020132
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Korean Journal of Otolaryngology - Head and Neck Surgery
2014 Volume.57 No. 2 p.132 ~ p.135
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Secondary Fungus Ball Caused by a Retained Foreign Body in Maxillary Sinus
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Chung Young-Jun
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Abstract
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Unilateral sinusitis can occur by various conditions, such as dental, neoplastic, fungal and foreign bodies. A 35-year-old woman visited our outpatient clinic with unilateral maxillary sinus lesion, which was detected incidentally on computed tomographic (CT) scan. A CT scan revealed a total opacification with focal calcification in the maxillary sinus, and a purulent discharge was detected in the middle and inferior meatus on the endoscopic exam. The patient had a history of two jaw surgeries 13 years ago. After widening the maxillary sinus ostium, a clay-like, dark brown colored fungus ball was found in the maxillary sinus. A surgical gauze was located in the center of this fungus ball. The fungus ball and foreign body were removed via an endoscopic approach. We present a secondary fungus ball caused by a long-term retained foreign body because this case underlies the importance of careful history taking, physical examination and gauze counting.
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KEYWORD
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Foreign body, Fungus, Maxillary sinus, Sinusitis
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