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Characteristic features of fungus ball in the maxillary sinus and the location of intralesional calcifications on computed tomographic images: A report of 2 cases

Imaging Science in Dentistry 2020년 50권 4호 p.377 ~ 384
이재훈, 이병도,
소속 상세정보
이재훈 ( Lee Jae-Hoon ) - Wonkwang University School of Medicine Department of Otolaryngology
이병도 ( Lee Byung-Do ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Radiology

Abstract


This report presents 2 cases of sinus fungus ball and describes the characteristic radiographic features of fungus ball in the maxillary sinus. Two female patients, aged 62 and 40 years, sought consultations at a dental hospital for the treatment of dental implants and tooth pain, respectively. Panoramic radiography and small field-of-view (FOV) cone-beam computed tomography (CBCT) did not provide detailed information for the radiographic diagnosis of fungus ball due to the limited images of the maxillary sinus. Additional paranasal sinus computed tomographic images showed the characteristic features of fungus ball, such as heterogeneous opacification and intralesional calcification of the maxillary sinus. The calcified materials of the fungus balls were located in the middle and superior regions of the maxillary sinus. It is necessary to use large-FOV CBCT for the detection of calcified materials in the upper maxillary sinus to confirm the diagnosis of fungus ball.

키워드

Maxillary Sinus; Mycoses; Cone-Beam Computed Tomography

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