상악동에 발생한 국균증의 치험2례
TWO CASES OF REPORT OF MAXILLARY SINUS ASPERGILLOSIS
김수민, 최형호, 지국섭, 강동완, 김수관,
소속 상세정보
김수민 ( ) - 조선대학교 치과대학 구강악안면외과학교실
최형호 ( ) - 조선대학교 치과대학 구강병리학교실
지국섭 ( ) - 조선대학교 치과대학 구강악안면외과학교실
강동완 ( ) - 조선대학교 치과대학 구강악안면외과학교실
김수관 ( ) - 조선대학교 치과대학 구강악안면외과학교실
KMID : 0360119960180040726
Abstract
Aspergillosis of the maxillary sinus was rare disease, but it was increasing tendency with overuse antibiotics, streoid hormones, and anticanncerous agents. The clinical features and,X-ray findings are similar to chronic suppurative paranasal sinusitis.
Aspergillosis of the maxillary siuses may occur as a chronic diseae in an otherwise healthy person. This infection is usually confined to a single paranasal sinus, the maxillary antrum, though it can involve the orbit and may initiate with findings of proptosis and decreased vision. The disease is characterized by a wide range of initial symptoms, and should be considered as a possible diagnosis in sinusitis refractory to antibiotics and antral lavage.
The choice of treatment of this disease is radical surgery and adjunctive systemic antifungal therapy.
We experienced a case of right maxillary sinus aspergillosis in a 34 years old male who has dull pain on Rt. zygoma area, and a case of left maxillary sinus aspergillosis in a 30 years old male who had been suffered from nasal stiffness and frontal headache for 34 years. We reported two cases with review of literature.
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