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[Aspergillosis of the maxillary sinus (author's transl)]
Abstract:
Aspergillosis of the paranasal sinuses becomes more and more important. 5 special cases and their histological findings are described. All of them showed unilateral chronic sinusites of long duration. Surgically there were found crumbly cheese-like substances in the sinuses, which corresponded to old fungal masses. The diagnosis was only possible by histological examination, usual staining methods were sufficient. Contrary to the opinion that consumptive basic illness or defects of the immunity system - also caused by therapy - would be a disposing factor for the fungal infection it has now been demonstrated that such cases are to be expected also spontaneous. Anatomical abnormities of the nasal space can favour the affection. Radical operation was the successful therapy.
Insights
Paranasal sinus aspergillosis is increasingly significant. Diagnosis requires histological examination, and while often linked to immune issues, it can occur spontaneously, with anatomical abnormalities as a contributing factor. Radical surgery proved effective.
Area of Science:
- Otolaryngology
- Mycology
- Pathology
Background:
- Aspergillosis affecting the paranasal sinuses is a growing clinical concern.
- This study details five unique cases, emphasizing their histological findings.
Observation:
- All patients presented with unilateral chronic sinusitis of long duration.
- Surgical exploration revealed "crumbly cheese-like" substances, identified as old fungal masses.
- Diagnosis was solely achievable through histological examination, with standard staining methods proving adequate.
Findings:
- The cases challenge the notion that aspergillosis solely results from compromised immunity or underlying illnesses.
- Spontaneous occurrences of paranasal sinus aspergillosis are demonstrated.
- Anatomical abnormalities within the nasal cavity can predispose individuals to this fungal infection.
Implications:
- Histological examination is crucial for diagnosing paranasal sinus aspergillosis.
- The condition can arise spontaneously, not exclusively in immunocompromised individuals.
- Radical surgical intervention is presented as a successful therapeutic approach.