Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

Mucormycosis 8예의 임상적 고찰

김현준1,*, 정연훈1, 조민정1, 백성수1
Hyun Jun Kim1,*, Yun-Hoon Choung1, Min Jung Cho1, Sung Su Baik1
1아주대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, Ajou University School of Medicine, Suwon, Korea
*교신저자: 김현준, 442-791 경기도 수원시 팔달구 원천동 산 5번지 아주대학교 의과대학 이비인후과학교실 전화: (031) 219-5262·전송: (031) 219-5264 E-mail: ENTKHJ@ajou.ac.kr

© Copyright 2004 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Apr 11, 2004; Accepted: May 14, 2004

Published Online: May 31, 2020

ABSTRACT

Background and objectives: Invasive fungal sinusitis can present as either an indolent or fulminant process that primarily affects immunocompromised individuals. Rhinocerebral mucormycosis with intracranial involvement has a high mortality. Materials and Method: Clinical characteristics of eight cases of mucormycosis in patients were analyzed retrospectively and previous reports in the literature were reviewed. Results: We treated the patients with correction of underlying disease, wide local excision, debridement of all involved and devitalized oral, nasal, sinus, and orbital tissue and intravenous amphotericin B. Three patients survived and five patients died. Conclusion: Mainstays of treatment include antifungal agents and radical resection of necrotic tissue. Reversal of the underlying medical condition, when possible, is a critical part of the management. The favorable outcome was attributable to early diagnosis and management of focal areas of mucormycosis. (J Clinical Otolaryngol 2004;15:134-138)

Keywords: 모균; 진균성 부비동염
Keywords: Mucormycosis; Sinusitis