진균구 60예의 임상적 분석

Abstract

Background and objectives: The mycotic infections of the paranasal sinuses are relatively rare, but their incidence tend to increase with frequent use of antibiotics, anticancer drugs, steroids and radiation or prolonged survival of chronically debilitated patients. In this study, we aimed to investigate the clinical and radiological characteristics of mycetoma. Materials and Methods: We reviewed 60 patients with mycetoma diagnosed by clinical examination, nasal endoscopy and computerized tomography during past 8 years from January 1992 to December 1999. This review focused on the preoperative clinical complaints and radiologic findings. Results: There were 34 male and 26 female patients and the patients ranged in age from 15 to 70 years, with a mean of 47 years. The patients reported nasal obstruction (72%), purulent rhinorrhea (62%), and facial pain or headache (52%) at presentation. The radiologic findings were hazziness, calcification and bone destruction of the involved sinus or sinuses. Preoperative computerized tomograms revealed mottled calcific densities within the involved sinuses in 55% of cases. Conclusion: Sixty cases of mycetoma were presented with respect to their clinical and radiologic features. Pertinent parameters of paranasal sinus fungal infection in adults which enhance the index of suspicion are chief complaints such as facial pain or headache and calcification on CT scan. (J Clinical Otolaryngol 2003;14:70–75)