Abstract
The authors reported 30 cases of paranasal sinus mycosis treated at Uwajima Municipal Hospital between 1989 and 1994. These 30 patients (7 males and 23 females) ranged in age from 34 to 74 years old with a mean of 55.2. The most common chief complaint was rhinorrhea, nasal obstruction and cheek pain. The disease was unilateral in 29 cases and bilateral in one case. The original lesion of the mycosis was the maxillary sinus in 29 cases and the frontal sinus in one case. In 25 cases, high density areas similar to calcification were seen in the maxillary sinus and in 11 cases, bone destruction was detected in the medial wall of the maxillary sinus by CT scan. A diagnosis of mycosis was mainly confirmed by pathological examination. In one case, the authors found actinomycosis, while the remaining cases showed aspergillus. Surgical procedures were performed in all cases. Of 30 cases, 22 were treated by Caldwell-Luc's procedure, 7 cases by endoscopic endonasal sinus surgery and one case by Killian's technique and craniosurgery, respectively. Prognosis was good in all cases.
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