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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

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A conservative approach to Aspergillus sinusitis (p.2218-21)

A conservative approach to Aspergillus sinusitis (p.2218-21)

Fidan Babayeva1, Nesrin Saruhan2, Yasemin Oz3, Ekim Onur Orhan1
1Department of Endodontics, Faculty of Dentistry, Eskisehir Osmangazi University, Eskisehir, Turkey
2Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Eskisehir Osmangazi University, Eskisehir, Turkey
3Department of Microbiology, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey
Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.


The aim of the case report was to present a new case of Aspergillus sinusitis with a conservative approach without apicoectomy. A twenty-two-year-old healthy female patient was presented. Unilaterally, the dense radiopacity of the maxillary sinus was detected in the dental examination. Radiopaque deposits within the right maxillary sinus, associated with the endodontically treated tooth #16 were monitored with the cone-beam computerized tomography taken as a diagnostic aid. Retreatment with surgery was planned. Following the chemomechanical preparation, orthograde calcium silicate cement (OrthoMTA, BioMTA Co., Seoul, Korea) was grafted into root canals prior to the surgery. The pathologic tissue adjacent to palatal root apices of tooth #16 located in the inferolateral wall of the right maxillary sinus floor was reached in Cadwell-Luc operation. The pathologic tissue was excised and root apices were not resected. Microscopically examination of the material revealed hyphae structures compatible with Aspergillus and furthermore, Aspergillus spp. was grown in microbiological culture. The definitive diagnosis was made as maxillary sinus aspergilloma according to the existing clinical, radiological and microbiological findings. No systemic antifungal treatment was performed in the postoperative period. The tooth has been followed up to 2 years. The asymptomatic clinical condition was maintained and radiographic healing was observed.

Keywords: Aspergillus; maxillary sinus; OrthoMTA; pathology; retreatment 


doi: 10.5455/annalsmedres.2020.01.067 



Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.


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