2013 Volume 136 Pages 85-88
We report herein on 42 cases of paranasal sinus mycosis treated surgically in our hospital between January 2005 and March 2012. The patients (17 males and 25 females) had ages ranging from 36 to 84 years (average 62.2 years). Thirty-nine patients had mycosis in the unilateral maxillary sinus, two in the bilateral maxillary sinus and one in the sphenoid sinus. In the CT findings, there were 33 cases with hypertrophic change of the sinus wall, 32 cases with partial calcification in the sinus and 14 cases with partial bone destruction of the sinus wall. Endoscopic sinus surgery was undertaken in 40 cases, and the Caldwell-Luc procedure in 2 cases. In all cases the condition was diagnosed with pathological examinations. Aspergillus was detected in 35 cases, Candida in 3 cases, and the causative fungus could not be identified in 4 cases. The prognosis was good in 35 cases, and the other 6 cases needed additional treatments or surgery.
