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상악동 내 이물질에 의해 이차적으로 발병한 진균구
Secondary Fungus Ball Caused by a Retained Foreign Body in Maxillary Sinus

대한이비인후-두경부외과학회지 2014년 57권 2호 p.132 ~ p.135

정영준(Chung Young-Jun) - 단국대학교 의과대학 이비인후-두경부외과학교실

Abstract

Unilateral sinusitis can occur by various conditions, such as dental, neoplastic, fungal and foreign bodies. A 35-year-old woman visited our outpatient clinic with unilateral maxillary sinus lesion, which was detected incidentally on computed tomographic (CT) scan. A CT scan revealed a total opacification with focal calcification in the maxillary sinus, and a purulent discharge was detected in the middle and inferior meatus on the endoscopic exam. The patient had a history of two jaw surgeries 13 years ago. After widening the maxillary sinus ostium, a clay-like, dark brown colored fungus ball was found in the maxillary sinus. A surgical gauze was located in the center of this fungus ball. The fungus ball and foreign body were removed via an endoscopic approach. We present a secondary fungus ball caused by a long-term retained foreign body because this case underlies the importance of careful history taking, physical examination and gauze counting.

키워드

Foreign body, Fungus, Maxillary sinus, Sinusitis

KMID : 0361020140570020132

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DOI

KCD코드

ICD 03

건강보험코드

상악동 내 이물질에 의해 이차적으로 발병한 진균구 Secondary Fungus Ball Caused by a Retained Foreign Body in Maxillary Sinus

Abstract

키워드

상악동 내 이물질에 의해 이차적으로 발병한 진균구
Secondary Fungus Ball Caused by a Retained Foreign Body in Maxillary Sinus