Abstract
We studied the clinical features of 3 patients pathologically diagnosed with sphenoid sinus mycosis. The causative organism was aspergillus in 2 patients and mucormycosis in 1.
We discuss clinical, diagnostic, and histogenic aspects in 32 cases, including our 3, reported from 1968 to 2001 in the Japanese literature. Typical clinical symptoms were headache and visual disturbance. Magnetic resonance imaging (MRI) was useful in diagnosing sphenoid sinus mycosis, showing decreased signal intensity in T1-weighted and a very low signal in T2-weighted images. Endoscopic sinus surgery and postoperative antifungal medication are recommended to prevent disease recurrence.
