[Aspergillosis of maxillary sinus: a case report]

A case of semi-invasive maxillary aspergillosis that presented with epiphora and responded well to surgical treatment is reported. Sixteen percent of cases of chronic sinusitis are produced by mycosis (particularly aspergillosis). The infection may be limited to the affected sinus (non-invasive forms) or may destroy the sinus wall, without tissue invasion (semi-invasive forms) or with tissue invasion (invasive forms). The diagnosis is mainly histological. Cultures present a high percentage of false positives and negatives. Treatment consists of surgical debridement of the sinus. Systemic amphotericin B is reserved for invasive aspergillosis (particularly fulminant cases).