Paranasal Fungal Ball of the Frontal and Contralateral Sphenoid Sinus

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  • Uraguchi Kensuke
    Department of Otorhinolaryngology, Kagawa Rosai Hospital, Marugame
  • Makihara Seiichiro
    Department of Otorhinolaryngology, Kagawa Rosai Hospital, Marugame
  • Naito Tomoyuki
    Department of Otorhinolaryngology, Kagawa Rosai Hospital, Marugame
  • Oka Aiko
    Department of Otorhinolaryngology, Kagawa Rosai Hospital, Marugame
  • Kariya Shin
    Department of Otorhinolaryngology, Okayama University Graduate School of Medicine, Okayama
  • Okano Mitsuhiro
    Department of Otorhinolaryngology, Okayama University Graduate School of Medicine, Okayama
  • Nishizaki Kazunori
    Department of Otorhinolaryngology, Okayama University Graduate School of Medicine, Okayama

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Other Title
  • 前頭洞・蝶形骨洞に同時に発見された副鼻腔真菌症例

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<p>Paranasal fungal balls are relatively common in the unilateral maxillary sinus, but are rare in the frontal and bilateral sinuses. We present a case of concurrent fungal balls in the frontal sinus and the contralateral sphenoid sinus. A 71-year-old woman was referred to our department with suspected frontal sinusitis based on computed tomography (CT) finding. Since the CT showed a fungal ball in the left frontal sinus, we performed an endoscopic modified Lothrop procedure under general anesthesia. A post-operative CT revealed a fungal ball in the right sphenoid sinus that was localized to the lateral recess and was evident on the preoperative CT. We performed endoscopic sinus surgery with a hydrodebrider system for the fungal ball in the sphenoid sinus. Since the second operation, the patient has been followed for one year without recurrence.</p>

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