Alabdulaal Maria, Almuhanna Zahraa, Alfaleh Moath, Saeed Ghadeer Bu, Alsaid Abdullah, Almomen Ali
College of Medicine, Arabian Gulf University, Manama 1000, Bahrain.
Department of Otolaryngology-Head and Neck Surgery, King Fahd Hospital of the University, Al-Khobar 34445, Saudi Arabia.
J Surg Case Rep. 2025 Jan 23;2025(1):rjaf017. doi: 10.1093/jscr/rjaf017. eCollection 2025 Jan.
Isolated maxillary fungal pathologies involve a variety of clinical entities. These include invasive and non-invasive variants, where each has a unique pathogenesis, clinical manifestation, and approach for management. The aim of this case series is to investigate the several ways that fungal infections of the maxillary sinus might present, with the approach to diagnose and manage these conditions. Several discrete maxillary fungal diseases were studied, including fungal ball, acute fulminant invasive fungal sinusitis, allergic fungal sinusitis, and chronic invasive fungal sinusitis at a hospital. For every condition, several treatment options, clinical manifestations, and diagnostic strategies were investigated, which are greatly influenced by the degree of invasiveness as well as the patient's immunological status. Optimizing patient outcomes, especially in more aggressive types of the disease, requires an early and proper diagnosis. Understanding the various symptoms of these fungal infections is critical for a timely management.
孤立性上颌骨真菌病涉及多种临床类型。这些包括侵袭性和非侵袭性变体,每种变体都有独特的发病机制、临床表现和治疗方法。本病例系列的目的是研究上颌窦真菌感染可能出现的几种方式,以及诊断和管理这些病症的方法。在一家医院对几种不同的上颌骨真菌病进行了研究,包括真菌球、急性暴发性侵袭性真菌性鼻窦炎、变应性真菌性鼻窦炎和慢性侵袭性真菌性鼻窦炎。对于每种病症,研究了几种治疗选择、临床表现和诊断策略,这些都受到侵袭程度以及患者免疫状态的极大影响。优化患者的治疗效果,尤其是在疾病更具侵袭性的类型中,需要早期和正确的诊断。了解这些真菌感染的各种症状对于及时治疗至关重要。