Occuloplastic intervention in mycosis

Authors

  • Manish Munjal Department of ENT- Head and Neck Surgery, Dayanand Medical College, Ludhiana, Punjab
  • Porshia Rishi Department of ENT- Head and Neck Surgery, Dayanand Medical College, Ludhiana, Punjab
  • Nitika Tuli Department of ENT- Head and Neck Surgery, Dayanand Medical College, Ludhiana, Punjab
  • Harjinder Singh Department of ENT- Head and Neck Surgery, Dayanand Medical College, Ludhiana, Punjab
  • Ojassvi Rishi Department of ENT- Head and Neck Surgery, Dayanand Medical College, Ludhiana, Punjab
  • Shubham Munjal Department of Physiology, Dayanand Medical College, Ludhiana, Punjab, India
  • Tej Mehar Department of Physiology, Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20204205

Keywords:

Aspergillosis, Subcutaneous mass, Orbit

Abstract

Mycosis of the paranasal sinuses with an indolent course is usually noted in the immunocompetent and the likely species is usually aspergillosis. The fungus is predominantly seen in the maxillary sinus. It encroaches into its vicinity either by contiguous spread or as a skip lesion, with a normal tissue in between. Imaging studies, CT or MRI clinches the diagnosis. Laterally the infratemporal fossa and superiorly the orbit are the regions of concern. Progressive cheek paresthesia and restricted eye movements and field of vision are the clinical presentations in such a scenario. Oral antifungals “the imidazoles” though are quite effective but often a surgical intervention is called for, other than for the purpose of a biopsy. Oculoplastic intervention was undertaken in one patient.

Author Biography

Manish Munjal, Department of ENT- Head and Neck Surgery, Dayanand Medical College, Ludhiana, Punjab

Prof hod ORLHNS

References

Atmatzidis DH, Hoegler K, Weiss AR, Lambert WC. Dermatopathologic emergencies part I. Ind J Dermatopatho Diagnos Dermato. 2017;4(2):21.

Prasad PV, Babu A, Kaviarasan PK, Anandhi C, Viswanathan P. Primary cutaneous aspergillosis. Indian J Dermatol Venereol Leprol. 2005;71(2): 133-4.

Mowad CM, Nguyen TV, Jaworsky C, Honig PJ. Primary cutaneous aspergillosis in an immuno competent child. J Americ Acade Dermato. 1995;33(1):136-7.

Ricci RM, Evans JS, Meffert JJ, Kaufman L, Sadkowski LC. Primary cutaneous Aspergillus ustus infection: second reported case. J Ameri Acade Dermato. 19981;38(5):797-8.

Rickerts V, Mousset S, Lambrecht E, Tintelnot K, Schwerdtfeger R, Presterl E, et al. Comparison of histopathological analysis, culture, and polymerase chain reaction assays to detect invasive mold infections from biopsy specimens. Clinical infectious diseases. 2007;44(8):1078-83.

Alaraj AM, Al-Faky YH, Alsuhaibani AH. Ophthalmic manifestations of allergic fungal sinusitis. Ophthal Plast Reconstr Surg. 2018.

Gupta R, Gupta AK. Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach. J Laryngol Otol. 2013:274-8

Sivak-Callcott JA, Livesley N, Nugent RA, Rasmussen SL, Saeed P, Rootman J. Localised invasive sino-orbital aspergillosis: characteristic features. Br J Ophthalmol. 2004:681-7

Van Burik JA, Colven R, Spach DH. Cutaneous aspergillosis. J Clinic Microbio. 1998;36(11): 3115-21.

Santos RP, Sánchez PJ, Mejias A, Benjamin Jr DK, Walsh TJ, Patel S, et al. Successful medical treatment of cutaneous aspergillosis in a premature infant using liposomal amphotericin B, voriconazole and micafungin. Pediat Infecti Disease J. 2007; 26(4):364-6.

Marcus JR, Palella FJ, Yeldandi AV, Dumanian GA. Extent of surgical intervention in primary soft-tissue aspergillosis. Ann Plast Surg. 1999;42(6): 683-7.

Verma RK, Patro SK, Shivaprakash MR, Chaterjee D, Panda NK. Invasive fungal infections of face–A diagnostic challenge: Case series and review. Egypt J ENT Alli Scienc. 2015;16(3):231-5.

Aggarwal E, Mulay K, Menon V, Sundar G, Honavar SG, Sharma M. Isolated Orbital Aspergillosis in Immunocompetent Patients: A Multicenter Study. Am J Ophthalmol. 2016;165: 125-32.

Madhavan M, Aurora AL, Gupta KR, Sibal RN. Subcutaneous facial aspergillosis. J Postgradu Medicine. 1977;23(3):140.

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Published

2020-09-23

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Section

Case Reports