A Case of Isolated Frontal Fungal Sinusitis: Treated by Endoscopic Sinus Surgery with Frontal Sinus Minitrephination

Woo, Young Ki; Kim, Min Han; Bae, Chang Hoon; Kim, Yong Dae

Case Report

Journal of Rhinology 2009;16(1):68-71.
Published online May 31, 2009.

A Case of Isolated Frontal Fungal Sinusitis: Treated by Endoscopic Sinus Surgery with Frontal Sinus Minitrephination

Young Ki Woo, Min Han Kim, Chang Hoon Bae, Yong Dae Kim

Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Yeungnam University, Daegu, Korea. ydkim@med.yu.ac.kr

전두동에 국한된 진균성 부비동염 1예：내시경적 비내 접근법 및 전두동 소형 천공술을 이용한 치료

우영기, 김민한, 배창훈, 김용대

영남대학교 의과대학 이비인후-두경부외과학교실

Abstract

The incidence and prevalence of human fungal sinusitis are increasing, because of recently increased immunocompromised host and developed diagnostic tool. Aspergillosis is the most common fungal infection of the paranasal sinuses. The maxillary sinus is most commonly affected by Aspergillus, followed by the sphenoid and ethmoid sinuses. However, isolated frontal fungal sinusitis is extremely rare. Recently, we experienced that a cases of Aspergillus sinusitis of isolated frontal sinus successfully was treated by endoscopic sinus surgery combined with frontal sinus minitrephination (the above and below approach). Therefore, we report this case with a review of the literatures.

Key Words: Aspergillosis;Frontal sinus;Trephination