Maksiller sinüs yerleşimli mantar topu: olgu bildirimi

Year 2020, Volume: 37 Issue: 2, 54 - 57, 01.05.2020

Dilara Tomrukçu Taha Köse Engin Dursun

https://doi.org/10.17214/gaziaot.621595

Abstract

Tanıtım: Sinüs mantar topu benign non-invaziv sinüs hastalığıdır ve bu
hastalığın görülme sıklığı son yıllarda artmıştır. Bu olgu sunumunun amacı
sinüs mantar topu tanısı konulan bir hastanın klinik ve radyolojik bulgularını
sunmaktır.

Olgu Bildirimi: Kırk yaşında kadın hasta, baş ve
orofasiyal bölgede ağrı şikayetiyle Recep Tayyip Erdoğan Üniversitesi Diş Hekimliği Fakültesi Oral ve Maksillofasiyal Radyoloji
Anabilim dalına başvurdu. Hastadan alınan panoramik radyografide dental ağrıya
neden olabilecek herhangi bir etken gözlenmemekle birlikte, sol maksiller
sinüste yabancı cisim saptandı. Bunun üzerine hastadan konik ışınlı
bilgisayarlı tomografi görüntüleri elde edildi. Bu görüntülerde sol maksiller
sinüste kalsifiye bölgeler içeren total opasite saptandı. Hastanın şikayeti ile
yapılan klinik ve radyografik muayene sonucunda fungal sinüzit ön tanısı ile
hastadan manyetik rezonans görüntüleme (MRG) istendi. MRG görüntüleri bu tanıyı
destekledi. Bunun üzerine hasta opere edilerek histopatolojik inceleme yapıldı.
Histopatolojik incelemede Aspergillus tipinde fungus ile uyumlu olduğu
doğrulandı.

Sonuç: Diş hekimleri fasiyal ağrısı olan hastalarda fungal
enfeksiyonların etken olabileceğinin farkında olmalıdır.

Keywords

Konik ışınlı bilgisayarlı tomografi, maksiller sinüs, mantar hastalıkları

Maxillary sinus fungus ball: a case report

Abstract

Introduction: Sinus fungus ball is a non-invasive sinus disease and
the incidence of this disease has increased in recent years. The aim of this
case report was to present the radiographic and clinical findings of a patient
who was diagnosed with a sinus fungus ball.

Case
Report: A 40-years-old female patient referred to
Recep Tayyip Erdoğan University
Faculty of Dentistry, Oral and Maxillofacial Radiology department with the
complaint of pain in the head and orofacial region. Any dental reason that may
cause the pain was not detected, however, a foreign body at the left maxillary
sinus was seen on a panoramic radiograph taken from the patient. Then, cone-beam
computed tomography images were obtained. These images revealed total
opacification of the left maxillary sinus with calcified areas. Due to the
complaint of the patient and clinical and radiographic findings magnetic
resonance images were obtained with the initial diagnosis of possible fungal
sinusitis. Magnetic resonance images supported this diagnosis. Upon this, the
patient was operated and histopathological examination was made. The presence of
fungus compatible with the Aspergillus type was confirmed with histopathologic
examination.

Conclusion: Dentists must be aware of maxillary sinus fungal
infections in patients with facial pain.

Keywords

Cone-beam computed tomography, maxillary sinus, mycoses

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