Invasive mucormycosis of the maxillary sinus

Case contributed by Dr David Matthews

Presentation

Double vision, photophobia, pain on moving eye, right maxillary pain, numbness and swelling. FNE: pus and crusiting right nasal cavity with edema of maxillary meatus.

Patient Data

Age: 60
Gender: Female

Right maxillary sinusitis with extension into the orbit through the orbital floor. Inflamed inferior rectus muscle and right sided proptosis. Inflammatory change tracks posteriorly into the pterygopalatine fossa

MRI

MRI Head

1. Right maxillary sinusitis with extension into the orbit through the orbital floor. 

2. Maxillectomy, anterior and posterior ethmoidectomy, right sphenopalatine artery ligation and medial orbital wall decompression. 

3. Right orbit exenteration. Disease involves right pterygopalatine fossa, orbital apex and cavernous sinus. 

Case Discussion

Case highlights the disasterous impact of invasive fungal sinusitis. Treatment is often very aggressive with poor outcomes. 

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Case information

rID: 76161
Published: 18th Apr 2020
Last edited: 10th Mar 2021
System: Head & Neck
Inclusion in quiz mode: Included
Excluded from licensing

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