Saud Alromaih, Ahmad Alroqi, Abdurahman Alghulikah and Kholood Assiri*
Department of Otolaryngology, Head and Neck Surgery, King Saud University, King Abdulaziz University Hospital, Saudi ArabiaFulltext PDF
Fungal ball is non-invasive type of fungal sinusitis. It might present with facial pain or pressure, nasal obstruction, secretions or decreased sense of smell, depending on the size and location of the sinus that is involved. The diagnosis is usually suspected by the radiological appearance on CT scans and confirmed eventually by histopathological studies. The mechanism of incidence is not yet clearly understood. Endoscopic surgical debridement and aeration of the involved sinuses is the current therapeutic modality. This is a case report of a Saudi male who was diagnosed with fungal ball in the maxillary sinus, who refused surgery and treated with intranasal steroid spray that resulted in an exemplary resolution.
Alromaih S, Alroqi A, Alghulikah A, Assiri K. Complete Resolution of Maxillary Fungal Ball with Only Topical Intranasal Corticosteroids: A Case Report. Clin Surg. 2022; 7: 3497.