Aspergillosis of the Sphenoid Sinus

CT findings of PNS aspergillosis

“…Plains rilm s of PNS showed unil ateral haziness and mucoperiosteal thi cken in g in all cases, with bony destruction in 2 cases. 5. In all cases, there were noted unilateral intermixture of high density, nodular soft tissues with contrast enhance ment, and bony scl erosis on CT scans.…”

Paranasal aspergillosis – a spectrum of disease

“…Hartwick and Batsakis (1991) described a chronic, indolent form of sinusitis associated with aspergilloma that was considered to have a potential for invasion, proportional to its duration. Several authors (Warder et al, 1975;Weinstein et al, 1976;Miglets et al, 1978;Romett and Newman, 1982;Von Haacke, 1984) and the experience of three cases in our department, have demonstrated that Aspergillus infection may produce marked destruction and erosion of the sinuses without fungal tissue invasion. Robb (1986) reported a further case of aspergilloma with a characteristic large mass of fungal mycelia filling the antrum.…”

Fungal Mucoceles of the Sphenoid Sinus

“…Miglets reported a single case of a 57‐year‐old woman in 1978 who presented with left‐sided nasal obstruction and occasional left‐sided facial pain. 12 Plain films revealed increased density in the left sphenoid sinus with destruction of the sinus floor. Therefore, this patient underwent surgical treatment in which the sphenoid was approached transseptally.…”