Facial Translocation Approach for Management of Invasive Sinonasal Aspergillosis

详细信息    查看全文

• 作者：Rajesh Dhirawani (1)
  Sumit Asrani (1)
  Sanyog Pathak (1)
  Ankit Sharma (1)
  
  1. Department of Oral and Maxillofacial Surgery ; Hitkarini Dental College & Hospital ; Jabalpur ; 482001 ; Madhya Pradesh ; India
  
• 关键词：Fungal sinusitis ; Invasive Aspergillosis ; Facial Translocation ; Orbito ; zygomatico ; maxillary bone flap
• 刊名：Journal of Maxillofacial and Oral Surgery
• 出版年：2015
• 出版时间：March 2015
• 年：2015
• 卷：14
• 期：1-supp
• 页码：482-487
• 全文大小：1,393 KB
• 参考文献：1. Falworth, MS, Herold, J (1996) Aspergillosis of the paranasal sinuses鈥攁 case report and radiographic review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 81: pp. 255-260 CrossRef
  2. Panda, NK, Saravanan, K, Chakrabarti, A (2008) Combination antifungal therapy for invasive aspergillosis: Can it replace high-risk surgery at the skull base?. Am J Otolaryngol Head Neck Surg 29: pp. 24-30
  3. Janecka, IP (1995) Classification of facial translocation approach to the skull base. Otolaryngol Head Neck Surg 112: pp. 579-585
  4. Chiller, TM, Stevens, DA (2000) Treatment strategies for Aspergillus infections. Drug Resist Updat 3: pp. 89-97 CrossRef
  5. Krennmair, G, Lenglinger, F (1995) Maxillary sinus aspergillosis: diagnosis and differentiation of the pathogens based on computed tomography densitometry of sinus concretions. J Oral Maxillofac Surg 53: pp. 657-663 CrossRef
  6. Clancy, CJ, Nguyen, MH (1998) Invasive sinus aspergillosis in apparently immunocompetent hosts. J Infect 37: pp. 229-240 CrossRef
  7. Adler, SC, Isaacson, G, Sasaki, CT (1997) Invasive aspergillosis of the paranasal sinuses and orbit: Can you save the eye?. Am J Otolaryngol 18: pp. 230-234 CrossRef
  8. Pushker, N, Meel, R, Kashyap, S, Bajaj, MS, Sen, S (2011) Invasive aspergillosis of orbit in immunocompetent patients: treatment and outcome. Opthalmology 118: pp. 1886-1891 CrossRef
  9. Costa, F, Polini, F, Zerman, N, Robiony, M, Toro, C, Politi, M (2007) Surgical treatment of Aspergillus mycetomas of the maxillary sinus: review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103: pp. e23-e29 CrossRef
  10. Hao, SP, Pan, WL, Chang, CN, Hsu, YS (2003) The use of the facial translocation technique in the management of tumors of the paranasal sinuses and skull base. Otolaryngol Head Neck Surg 128: pp. 571-575 CrossRef
  
• 刊物主题：Oral and Maxillofacial Surgery; Dentistry; Otorhinolaryngology; Plastic Surgery;
• 出版者：Springer India
• ISSN：0974-942X

文摘

Aspergillosis is an uncommon fungal disease seen commonly in paranasal sinuses. It may be of noninvasive variety which is restricted to paranasal sinuses seen in healthy and immunocompetent hosts or may present as invasive form seen in immunocompromised hosts especially in diabetics and patients under long term immunosuppressant therapy. Along with paranasal sinuses invasive forms may encroach upon surrounding adjacent structures involving the orbit and extend intracranially. Orbital and intracranial involvement have a high mortality rate. Early diagnosis of the lesion and prompt aggressive management is important for better prognosis. Aggressive treatment includes surgical debulking and medical management mainly with systemic amphotericin B and other azoles. In orbito-cranial involvement, due to limited access to cranial base, it becomes difficult to surgically debulk the lesion with safety to surrounding important structures. Facial translocation approach gives adequate access to paranasal sinuses, orbit and anterior cranial base. Reported here are two cases of invasive cranio-orbito-nasal aspergillosis treated with facial translocation approach.