Abstract
Sinonasal phycomycosis or zygomycosis is an opportunistic infection caused by mold fungi belonging to the class Zygomycetes. These fungi are widely distributed in nature and mainly infect immunosuppressed patients. Herein, we present the rare case of sinonasal phycomycosis in an immunocompetent 37-year old man presented to an ENT surgeon with a history of rhinorrhea, nasal blockage, and progressive swelling of the cheek for 5 years, prior to presentation to hospital. A sinonasal soft tissue mass was observed with biopsy results yielding phycomycosis. Surgery was planned twice but was suspended by the patient himself. He finally absconded following a third appointment for surgery due to financial constraints. The purpose of this paper is to draw the attention of clinicians to strongly consider the inclusion of fungal infection as a differential diagnosis of orofacial or cheek swelling.
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