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Sinus aspergillosis.

C De Foer1, E Fossion, J M Vaillant

  • 1Dept. of Oral and Head and Neck Surgery, University Hospital Leuven, Belgium.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|January 1, 1990
PubMed
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Aspergillus sinusitis is often misdiagnosed. This fungal infection can be caused by spore inhalation or dental procedures, sometimes becoming invasive and fatal.

Area of Science:

  • Otorhinolaryngology
  • Mycology

Background:

  • Aspergillus sinusitis prevalence is underestimated, often misclassified as unspecified sinusitis.
  • Two etio-pathogenic mechanisms are proposed: spore inhalation (anglophone model) and oro-sinusal fistula/dental material perforation (French model).

Observation:

  • The disease commonly mimics chronic bacterial sinusitis but can become invasive.
  • Cases observed in Paris and Leuven highlight the need for awareness.
  • Zinc-oxide-eugenol paste poses a significant risk when present in the sinus.

Findings:

  • Neither the anglophone nor the French model fully explains all cases of Aspergillus sinusitis.
  • Invasive forms can resemble malignancy, leading to fatal outcomes.

Implications:

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  • Accurate diagnosis and prompt radical surgery are crucial for effective treatment.
  • Conservative treatments like antibiotics and corticosteroids may worsen the prognosis.
  • Increased awareness among physicians and dentists regarding fungal sinusitis and dental materials is essential.