Atypical fungal maxillar sinusitis - case report

Fungal sinusitis can be divided into invasive and non-invasive. Fungal ball of the sinus is a type of chronic non-invasive infection and it is most often related to the previous endodontic treatment. This case report describes non-invasive fungal rhinosinusitis in a patient with cough and obstructive sleep apnea syndrome. The patient did not present any other symptoms and he was treated by a therapeutic specialist. The patient underwent antibiotic therapy but no improvement was observed. Computed tomography of the face showed the lesion with calcification of the right maxillary sinus. It was decided to perform sinusotomy through the anterior wall of the maxillary sinus under endoscopic control. The lesion was removed during surgery and the sinus was rinsed. General condition of the patient improved after surgery. No cough or obstructive sleep apnea syndrome was found.