Abstract
A case of primary frontal sinus aspergilloma in a 79 year old non-immunocompromised woman, who presented with a right sided pyocele expanding into the orbit, is presented. The low susceptibility of the frontal sinus is probably related to the brachycephalic shape of the human skull which locates this sinus far anterosuperiorly to the nasal cavity. In human frontal sinus aspergillosis nasal symptoms are absent; the clinical manifestation of this rare disease is initiated by complications, especially orbital or intracranial invasion. Sinus opacity may raise early suspicion. Treatment consists of surgical debridement and re-aeration. Diagnosis is established by histological analysis of intraluminal contents.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bhalla D., Kumar S., Pal D. N., Malhotra V., Dhingra P. L. Aspergilloma of the frontal lobe. Acta Neurochir (Wien) 1980;55(1-2):135–139. doi: 10.1007/BF01808927. [DOI] [PubMed] [Google Scholar]
- Gupta K. R., Udhayakumar B., Rao P. B., Madhaven M., Das Gupta L. R. Aspergilloma of the frontal bone. J Laryngol Otol. 1973 Oct;87(10):1007–1011. doi: 10.1017/s0022215100077926. [DOI] [PubMed] [Google Scholar]
- Mortellaro C. M., Franca P. D., Caretta G. Aspergillus fumigatus, the causative agent of infection of the frontal sinuses and nasal chambers of the dog. Mycoses. 1989 Jul;32(7):327–335. doi: 10.1111/j.1439-0507.1989.tb02253.x. [DOI] [PubMed] [Google Scholar]
- Stevens M. H. Aspergillosis of the frontal sinus. Arch Otolaryngol. 1978 Mar;104(3):153–156. doi: 10.1001/archotol.1978.00790030039009. [DOI] [PubMed] [Google Scholar]
- Warder F. R., Chikes P. G., Hudson W. R. Aspergillosis of the paranasal sinuses. Arch Otolaryngol. 1975 Nov;101(11):683–685. doi: 10.1001/archotol.1975.00780400041011. [DOI] [PubMed] [Google Scholar]