上颌竇黏液囊腫內之麴菌感染－病例報告

Aspergillosis Within a Maxillary Sinus Mucocele - Case Report

劉柏煌(Po-Haung Liu) ； 李達人(Ta-Jen Lee)

《中華民國耳鼻喉科醫學雜誌》 35卷3期 (2000/05) Pp. 208-211

https://doi.org/10.6286/2000.35.3.208

摘要

上颌竇黏液囊腫約佔所有副鼻竇黏液囊腫的10%，依Natvig與Lavsen所下的定義，為一種內覆上皮且充滿黏液的空腔性病變。其成因以之前經歷過手術、外傷、過敏性鼻炎、慢性感染等較為常見。而上颌竇之麴菌感染以非侵襲性黴菌性鼻竇炎或黴菌球為其主要之表現。根據文獻統計，合併麴菌感染之上颌竇黏液囊腫頗為罕見。本院經歷一42歲女性糖尿病患，術前診斷為單側上颌竇黏液囊腫，施行鼻竇功能性內視鏡手術時切開囊腫後，發現除黏液外尚有黃色之黴菌石（mycolith），病理報告為麴菌感染。

關鍵字

上颌竇 ； 黏液囊腫 ； 麴菌感染

並列摘要

Maxillary sinus mucoceles are relatively rare, accounting for 10% or less of all mucoceles of the paranasal sinuses in the United States and Europe. Few individual cases have been reported in the literature. A mucocele of the paranasal sinus is an epithelial-lined cavity containing mucus. The most common causes of mucoceles are previous surgery, trauma, chronic infection, and allergic sinonasal disease. We herein present a 42 year-old woman with aspergillosis superimposed in her maxillary sinus mucocele. On presentation, this patient had a 10-year history of intermittent right nasal obstruction that had became progressively more severe recently. The preoperative CT scanning showed opacification and smooth expansion of the right maxillary sinus, suggesting the exsistence of a muco-cele. In endoscopic operation, a yellowish mycolith was found within the mucocele which was opened and drained. The postoperative course was smooth and the nasal symptoms improved. It is likely that this mucocele arose from blockage of the outflow tract of the maxillary sinus by a mycolith.

並列關鍵字

maxillary sinus ； mucocele ； aspergillosis