종설

부비동 모균증 2례

이덕성1, 윤용준1, 정지영1, 이성욱1
Duk Sung Lee1, Yong Jun Yoon1, Ji Yeong Jung1, Seong Wook Lee1
Author Information & Copyright
1대림성모병원 이비인후과학교실
1Department of Otolaryngology, Dae Rim Saint Mary's Hospital, Seoul, Korea

© Copyright 1998 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Mucormycosis is a relatively uncommon but the most acutely developing fatal fungal infection in human. However, its incidence tends to increase with the improvement of diagnostic methods and the increase in the predisposing factors such as uncontrolled diabetes mellitus, leukemia, lymphoma and carcinoma. The major form of mucormycosis is rhinocerebral mucormycosis which typically originates in the nose and sinuses, and then extends into the orbital apex, cavernous sinus and brain. The clinical course is often determined by intrinsic host factors and early diagnosis and aggressive management improves the prognosis for this infection which is often lethal.

Recently we experienced two cases of benign noninvasive mucormycoses of maxillary sinus in immunocompetent patients.

One case was treated with endoscopic sinus surgery and Caldwell-Luc's approach, and another case was treated by middle meatal antrostomy and antral irrigation. Both cases were sucessfully treated without recurrence. Therefore, we report these cases with review of literatures.

Keywords: Mucormycosis; Endoscopic sinus surgery; Maxillary sinus