A Case of Fungal Ball Caused by Retained Glass Foreign Body in Maxillary Sinus for 30 Years

Sung Jae Heo; Jae Ho Lee; Jung Soo Kim

doi:10.18787/jr.2017.24.2.123

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Heo, Lee, and Kim: A Case of Fungal Ball Caused by Retained Glass Foreign Body in Maxillary Sinus for 30 Years

Case Report

Journal of Rhinology 2017; 24(2): 123-126.

Published online: 30 November 2017

DOI: https://doi.org/10.18787/jr.2017.24.2.123

A Case of Fungal Ball Caused by Retained Glass Foreign Body in Maxillary Sinus for 30 Years

Sung Jae Heo, Jae Ho Lee, Jung Soo Kim

Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

Corresponding author (profsookim@gmail.com)

Received 6 September 2016 Revised 5 June 2017 Accepted 7 August 2017

Journal of Rhinology

Abstract

The fungal ball is the most frequent non-invasive form of fungal sinusitis. Some authors have reported opportunistic fungus infections caused by retained foreign bodies in the maxillary sinus. Whereas previously reported foreign bodies were almost always metal materials, we report the case of a fungus ball caused by retained pieces of glass for 30 years. The patient complained of unilateral nasal obstruction. Computed tomography revealed fungal sinusitis and foreign bodies in the left maxillary sinus. The fungus ball and foreign bodies were removed via an endoscopic sinus surgery. After surgical removal, the patient became free from nasal symptoms.

Keywords: Fungi, Foreign bodies, Glass, Maxillary sinus

Figures and Tables

Fig. 1

Preoperative axial computed tomography scan. A: Calcific density (white arrow) is shown in the left maxillary sinus. B: Foreign bodies (black arrow) are shown in the floor of the left maxillary sinus and anterior to the left maxilla.

Fig. 2

Intraoperative endoscopic findings. A : Uncinate process and medial wall of left maxillary sinus (*) extended to septum (S). B and C : Fungal ball like materials (black arrow) and several pieces of glass (white arrow) are shown in the left maxillary sinus. IT, inferior turbinate.

Fig. 3

The numerous septated fungal hyphaes are observed in GMS stain (×40). The fungal hyphaes show septate filaments, regular thick, branching at acute angle. These morphologic findings are consistent with Aspergillus. GMS: Gomori's methenamine silver.

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