Maxillary fungus ball in a diabetic patient. An odontogenic origin
Guido Gabriele 1, Valentine Ikenna 1, Flavia Cascino 1, Biagio Carangelo 1, Federico Zerini 1, Jude Ugochukwu 1, Gianluca Niccolai 2, Rossella Frate 1, Chiara D’Elia 3, Junfeng Xu 1, Paolo Gennaro 2
Affiliations
Article Info
1 Policlinico “Santa Maria alle Scotte” Siena, Italy
2 Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Naples, Italy
3 Department of Stomatology, Tongde Hospital of Zhejiang Province, China
Abstract
INTRODUCTION: Fungus ball (FB) represents a granulomatous mass due to a fungal colonization which may disseminate and potentially lead to a systemic infection. Maxillary fungus ball is considered to be a complication of dental treatment and, according to relevant literature, it often stems from improper endodontic therapies. MATERIAL AND METHODS: The authors report the case of a 69-year-old caucasian woman with nasal respiratory distress and frequent sinusitis symptoms. According to clinical and radiological evidence, FESS surgery was planned, thus validating FB diagnostic hypothesis. CONCLUSIONS: Fungal infection should always be considered in patients with sinusitis and previous root canal theraphy. Misdiagnosis can lead to severe complications. Surgical removal seems to be effective and resolutive.
Keywords
- Endoscopic surgery
- Fungus Ball
- Maxillary sinusitiss