Bachesk Andressa-Bolognesi, de Souza Verônica-Ramos, Ricken Carla-Militão, Pierri Ricardo-Augusto-Gonçalves, Pavan Angelo-José
DDS, Resident in Oral and Maxillofacial Surgery at State University of Maringá - Maringá - PR - Brazil.
DDS, Intern in Oral and Maxillofacial Surgery at State University of Maringa - Maringá - PR - Brazil.
J Clin Exp Dent. 2021 Mar 1;13(3):e318-e322. doi: 10.4317/jced.57692. eCollection 2021 Mar.
Aspergillosis, aka fungal ball (FB), is classified as a type of non-invasive fungal rhinosinusitis, which usually occurs unilaterally in the maxillary sinus of an immunocompromised patient. Its diagnosis is complex and depends on the association between clinical, imaging, and histopathological exams. There are many treatments for fungal infections of the paranasal sinuses, so early diagnosis is extremely important to determine the appropriate treatment. This paper reports an unusual clinical case of aspergillosis present bilaterally inside the maxillary sinuses of a healthy patient, associated with mucous retention cysts, whose imaging exams and transnasal endoscopy were not sufficient to precisely identify the lesion. Its diagnosis and definitive treatment were obtained only after orthognathic surgery and integration between a multidisciplinary team. Aspergillosis, communicable diseases, fungal ball, infectious disease, orthognathic surgery.
曲霉菌病，又称真菌球（FB），被归类为一种非侵袭性真菌性鼻-鼻窦炎，通常单侧发生于免疫功能低下患者的上颌窦。其诊断复杂，取决于临床、影像学和组织病理学检查结果之间的关联。鼻窦真菌感染有多种治疗方法，因此早期诊断对于确定合适的治疗方案极为重要。本文报告了一例罕见的临床病例，一名健康患者双侧上颌窦内出现曲霉菌病，并伴有黏液潴留囊肿，其影像学检查和经鼻内镜检查不足以精确识别病变。仅在正颌手术后并经多学科团队综合评估后才得以确诊并进行最终治疗。曲霉菌病、传染病、真菌球、感染性疾病、正颌手术
