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CURRENT ISSUECHIRURGIA

A Journal on Surgery

Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index

Frequency: Bi-Monthly

ISSN 0394-9508

Online ISSN 1827-1782

 

Chirurgia 2014 April;27(2):135-40

    CASE REPORTS

Post-facial reconstruction maxillary sinusitis associated with aspergillosis: a case report

Dreyer Da Silva De Menezes J. 1, Simões Correa A. P. 2, Simonetti L. F. 3, Stedile Fiamoncini E. 4, Capelari M. M. 5, Lopes Toledo G. 6, Lopes Toledo-Filho J. 7

1 Department of Oral and Maxillofacial Surgery Hospital for Rehabilitation of Craniofacial Anomalies of the University of São Paulo ‑ HRAC/USP, Bauru, Brazil;
2 Department of Oral and Maxillofacial Surgery School of Dentistry UNESP, Araçatuba, São Paulo, Brazil;
3 Department of Oral and Maxillofacial Surgery Base Hospital‑ FAMESP, Bauru, São Paulo, Brazil;
4 Department of Oral and Maxillofacial Surgery Base Hospital‑ FAMESP, Bauru, São Paulo, Brazil;
5 Department of Oral and Maxillofacial Surgery Base Hospital‑ FAMESP, Bauru, São Paulo, Brazil;
6 Department of Oral Biology School of Dentistry University of São Paulo Bauru, São Paulo, Brazil;
7 Department of Anatomy School of Dentistry University of São Paulo Bauru, São Paulo, Brazil

Aspergillosis is a term used for fungal infections caused by Aspergillus sp. and mainly affects the airways of adult individuals. The definitive diagnosis of aspergillosis may be difficult, it is commonly confused with chronic sinusitis, but does not recede with the use of antibiotic therapy or irrigation of the maxillary sinus. Rapid intervention is necessary, especially in immunocompromised patients given the fact that this infection slowly progressive is able to cross the barriers and affect important anatomic structures adjacent to the paranasal sinuses with possible orbital and intracranial complications. This paper reports a case of non-invasive fungal sinusitis associated with aspergillosis in a patient with a history of facial fracture treated with reconstruction surgery (reduction and rigid internal fixation). The diagnosis and treatment are discussed, along with clinical, imaging and anatomopathological aspects.

language: English


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