Mustakim Kezia Rachellea, Eo Mi Young, Kim Myung-Joo, Yoon Hye Jung, Kim Soung Min
Department of Oral and Maxillofacial Surgery.
Department of Prosthodontics.
J Craniofac Surg. 2023;34(5):e517-e520. doi: 10.1097/SCS.0000000000009399. Epub 2023 May 29.
Aggressive aspergillosis is a life-threatening fungal infection with rapid progress, mainly affecting the maxillofacial area, especially the nose and paranasal sinuses, in patients with immunocompromised conditions such as diabetes mellitus. Aggressive aspergillosis infection should be differentiated from other invasive fungal sinusitis for early recognition with correct prompt treatment. The main treatment is aggressive surgical debridement such as maxillectomy. Although aggressive debridement should be performed, preservation of the palatal flap should be considered for better postoperative outcomes. In this manuscript, we report the case of a diabetic patient with aggressive aspergillosis affecting the maxilla and paranasal sinuses and describe the appropriate surgical management and prosthodontic rehabilitation.
侵袭性曲霉菌病是一种进展迅速、危及生命的真菌感染，主要影响糖尿病等免疫功能低下患者的颌面部区域，尤其是鼻子和鼻窦。侵袭性曲霉菌病感染应与其他侵袭性真菌性鼻窦炎相鉴别，以便早期识别并及时进行正确治疗。主要治疗方法是积极的手术清创，如上颌骨切除术。尽管应进行积极的清创，但为了获得更好的术后效果，应考虑保留腭瓣。在本论文中，我们报告了一例糖尿病患者发生侵袭性曲霉菌病累及上颌骨和鼻窦的病例，并描述了适当的手术治疗和修复治疗。
