Atypical fungal maxillar sinusitis - case report

Abstract

Fungal sinusitis divided into invasive and non-invasive forms. Fungal ball of the sinuses is a not invasive infection that if characterizes for its chronicity, being the majority related with previous endodontic treatment. We report a case of non-invasive fungal rhinosinusitis in a patient with a cough with obstructive symptom at the night. The patient did not show any other symptoms, treated by the therapeutic specialist. Antibiotics had prescribed, but no improvement had noted. Computed Tomography of face showed that presented injury with calcification of the right maxillary sinus. We decided to perform the sinusotomy throw the anterior wall of the maxillary sinus with the endoscopy control. Intraoperative we evacuated and washed the sinus. After the operation, general condition was improvement and patient did not note coughing with obstruction at the night.