Aspergillosis of the Maxillary Sinus: Clinical and Histopathological Features of 4 Cases and a Review of the Literature

Abstract

Four patients with aspergillus maxillary sinuitis are reported and a review of the literature on aspergillus paranasal sinuitis during the last 10 years is presented. The patients had symptoms and X-ray findings similar to a chronic bacterial sinuitis. One patient had been operated upon 6 years previously due to a chronic sinuitis and 3 of the patients had been treated with broad-spectrum antibiotic drugs. Caldwell-Luc operations were performed, also to exclude malignant tumours. The aspergillus etiology of the sinuitis was discovered in routine stained sections by histo-pathological examination of the sinus mucosae. No recurrence of the fungus infection occurred after the Caldwell-Luc operation, which was valuable for the correct diagnosis as well as being the best suited therapy.