Fungus Ball of the Maxillary Sinus Presenting With Epiphora.

The authors report a case of fungus ball of the maxillary sinus with bone erosion presenting with epiphora, which was diagnosed after treatment failure using silicone intubation for nasolacrimal duct obstruction. Symptoms of sinus fungus ball are similar to those of chronic bacterial rhinosinusitis, although occasionally asymptomatic. To our knowledge, epiphora has never been reported as a symptom of sinus fungus ball. The purpose of this report is to emphasize the importance of considering sinonasal causes when evaluating epiphora patients, as well as to suggest the use of preoperative CT scans for a more accurate diagnosis and to prevent unnecessary procedures.

[1]  R. Landsberg,et al.  Unexpected pathologies in patients referred for endoscopic DCR , 2014, European Archives of Oto-Rhino-Laryngology.

[2]  Ching-Yin Ho,et al.  The Significance of Computed Tomographic Findings in the Diagnosis of Fungus Ball in the Paranasal Sinuses , 2012, American journal of rhinology & allergy.

[3]  K. Nagi,et al.  Utilization Patterns for Diagnostic Imaging in the Evaluation of Epiphora Due to Lacrimal Obstruction: A National Survey , 2010, Ophthalmic plastic and reconstructive surgery.

[4]  S. Lo,et al.  Nasolacrimal Tuberculosis: Case Report Highlighting the Need for Imaging in Identifying and Managing it Effectively , 2010, Orbit.

[5]  D. Leopold,et al.  The Changing Face of Paranasal Sinus Fungus Balls , 2009, The Annals of otology, rhinology, and laryngology.

[6]  Claudio Farina,et al.  Paranasal sinus fungus ball: diagnosis and management , 2007, Mycoses.

[7]  P. Grosjean,et al.  Fungus balls of the paranasal sinuses: a review , 2007, European Archives of Oto-Rhino-Laryngology.

[8]  J. Klossek,et al.  Paranasal sinus fungus ball: epidemiology, clinical features and diagnosis. A retrospective analysis of 173 cases from a single medical center in France, 1989-2002. , 2006, Medical mycology.

[9]  H. Dhong,et al.  Diagnostic Accuracy in Sinus Fungus Balls: CT Scan and Operative Findings , 2000, American journal of rhinology.

[10]  I. Francis,et al.  Computed tomography of the lacrimal drainage system: retrospective study of 107 cases of dacryostenosis. , 1999, Ophthalmic plastic and reconstructive surgery.

[11]  J. Klossek,et al.  Functional Endoscopic Sinus Surgery and 109 Mycetomas of Paranasal Sinuses , 1997, The Laryngoscope.

[12]  D. Sachs,et al.  The pitfall of dacryostenosis. , 1992, Ophthalmic surgery.