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

접형동에 국한된 세균성 부비동염으로 오인된 알레르기성 진균성 부비동염 1예

박태정1, 최소희1, 이형신2, 정태영1,*
Tae Jung Park1, So Hee Choi1, Hyeongsin Lee2, Tae Young Jung1,*
1메리놀병원 이비인후과
2고신대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology, Maryknoll Medical Center, Busan, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea
*교신저자: 정태영, 48972 부산광역시 중구 중구로 121 메리놀병원 이비인후과 전화 :(051) 465-2205·전송 :(051) 462-9419 E-mail:handsjung@naver.com

© Copyright 2015 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: Jun 24, 2015; Revised: Sep 07, 2015; Accepted: Oct 22, 2015

Published Online: May 31, 2020

ABSTRACT

Allergic fungal sinusitis is clinicopathologically defined as a benign, noninvasive variety of fungal infection. The most common involving sinus in the allergic fungal sinusitis is the maxillary sinus, followed by ethmoid sinus. On the other hand, sphenoid sinus is only occasionally affected. Solitary involvement of the sphenoid sinus is a relatively uncommon variety. Because of the anatomical location of the sphenoid sinus, the nasal airflow to be directed below the ostium, few bacteria or inhaled irritants are carried to the sinus. The most common presenting symptom is headache, which is not specific. Therefore once sphenoid sinus is encountered disease entity, it is often difficult to clinically establish the correct diagnosis. We present a case of allergic fungal sinusitis misdiagnosed as isolated bacterial sphenoiditis which were successfully treated with transnasal endoscopic sphenoidotomy followed by systemic and topical steroids and saline irrigation. (J Clinical Otolaryngol 2015;26:263-267)

Keywords: 접형동염; 아스페르질루스; 알레르기 비염; 두통
Keywords: Sphenoid sinusitis; Aspergillus; Allergic rhinitis; Headache