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An unusual location for a fungus ball: the concha bullosa

Published online by Cambridge University Press:  29 June 2012

E Ciger ,
U Demiray ,
K Onal  and
M Songu
E Ciger
Affiliation:
Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
U Demiray*
Affiliation:
Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
K Onal
Affiliation:
Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
M Songu
Affiliation:
Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey
*
Address for correspondence: Dr Utku Demiray, Department of Otorhinolaryngology, Izmir Ataturk Research and Training Hospital, Izmir, Turkey Fax: 00 90 232 4892315 E-mail: [email protected]
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Abstract

Objective:

We report an unusual case of a fungus ball in the concha bullosa, without involvement of the paranasal sinuses.

Case report:

A 29-year-old woman presented complaining of nasal obstruction and postnasal discharge. Paranasal computed tomography demonstrated that the concha bullosa in the right middle turbinate was filled with a high-density material. The patient underwent endoscopic resection of the concha bullosa, during which a dark brown, cheese-like material was found. Histopathological examination of the excised specimen revealed a fungus ball.

Conclusion:

Fungus balls are non-invasive accumulations of dense fungal concretions that generally affect healthy individuals. In the sinonasal region, they occur most frequently in the maxillary sinus. Although fungus ball formation in the concha bullosa is unusual, it should be considered in the differential diagnoses of middle turbinate and sinonasal pathology.

Keywords

TurbinatesFungusConcha BullosaAspergillosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 8 , August 2012 , pp. 844 - 846
Copyright
Copyright © JLO (1984) Limited 2012

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References

1 Grosjean, P, Weber, R. Fungus balls of the paranasal sinuses: a review. Eur Arch Otorhinolaryngol 2007;264:461–70Google Scholar
2 Songu, M, Unlu, HH, Gunhan, K, Ilker, SS, Nese, N. Orbital exenteration: a dilemma in mucormycosis presented with orbital apex syndrome. Am J Rhinol 2008;22:98–103 Google Scholar
3 Costa, F, Polini, F, Zerman, N, Robiony, M, Toro, C, Politi, M. Surgical treatment of Aspergillus mycetomas of the maxillary sinus: review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:23–9CrossRefGoogle ScholarPubMed
4 Lee, GH, Yang, HS, Kim, KS. A case of the inferior meatus fungus ball. Br J Oral Maxillofac Surg 2008;46:681–2CrossRefGoogle ScholarPubMed
5 Cukurova, I, Demirhan, E, Karaman, Y, Yigitbasi, OG. Extraordinary pathologic entities within the concha bullosa. Saudi Med J 2009;30:937–41Google ScholarPubMed
6 Okuyucu, S, Akoğlu, E, Dağli, AS. Concha bullosa, pyocele. Eur Arch Otorhinolaryngol 2008;265:373–5CrossRefGoogle Scholar
7 Unlü, HH, Akyar, S, Caylan, R, Nalça, Y. Concha, bullosa. J Otolaryngol 1994;23:23–7Google Scholar
8 Robey, AB, O'Brien, EK, Richardson, BE, Baker, JJ, Poage, DP, Leopold, DA. The changing face of paranasal sinus fungus balls. Ann Otol Rhinol Laryngol 2009;118:500–5CrossRefGoogle ScholarPubMed
9 Lee, KC. Clinical features of the paranasal sinus fungus ball. J Otolaryngol 2007;36:270–3Google ScholarPubMed