부비동 모균증 2례

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.