Radiologic findings in aspergillosis of the maxillary sinus

Antral aspergillosis has recently been found to be often induced by endodontic material (Endomethasone, N2, Riebler Material), that contains zinc oxide and paraformaldehyde. A study of 34 otherwise healthy patients with aspergillus infection of the maxillary sinus had a pathognomonic radiologic appearance noted in 26 patients (76%). All patients except one had a history of endodontic therapy. The radiology, pathogenesis, differential diagnosis, treatment, and prevention of solitary antral aspergillosis are briefly discussed.