Invasive maxillary aspergillosis after dental extraction

Martínez, Dolores López; ̃o, Miguel Burguen; Forteza, Gabriel; Martín, Mercedes; Sierra, Ignacio

doi:10.1016/0030-4220(92)90297-4

Cited by 10 publications

(3 citation statements)

References 14 publications

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“…Hence, both the intrusion of root-canal filling material as well as surgical exploration of an extraction socket under septic conditions could be the probable cause of aspergillus infection [27]. Martinez et al also published a case report in apergilloma in maxillary sinus after a dental procedure [28]. Peral-Cagigal et al studied a case of invasive maxillary sinus aspergillosis who similarly gave the history of dental extraction similar to our study [29,30].…”

Section: Invasive Fsn-aspergillosissupporting

confidence: 67%

Clinicopathological Study of Non-Neoplastic Lesions of Nasal Cavity and Paranasal Sinuses in a Tertiary Care Teaching Hospital

SAINI,

Badyal,

SINGH

et al. 2023

Asian J Pharm Clin Res

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Objective: A variety of non-neoplastic lesions involving the nasal cavity (NC) and paranasal sinuses (PNS) are encountered in clinical practice. The clinical features, symptoms, and advanced imaging technique help to reach a provisional diagnosis but histopathological examination remains the mainstay of final definitive diagnosis. There is a lack of studies that exclusively cover non-neoplastic lesions of sinonasal region. Hence, this study was done with the aim of examining the clinicopathological features of various non-neoplastic lesions of NC and PNS. Methods: The formalin-fixed specimens of polypectomy/biopsy were received with complete clinical and radiological features in the department of pathology. Routine gross examination and required number of sections were taken and stained with hematoxylin and eosin stain. Periodic acid Schiff’s was used wherever necessary. Results: Histologically, maximum number of cases were of inflammatory polyp (IP) (57%), followed by Allergic polyp (AP) (18%) and Invasive Fungal Sinusitis-Mucormycosis (17%). Mucormycosis was found in patients who have recovered from COVID along with a steroid intake history or had diabetes mellitus or had multiple comorbidities along with COVID recovery and steroid intake. Conclusion: Among the non-neoplastic lesion, IP is the most common lesion followed by AP. The significant number of mucormycosis cases was seen due to the ongoing COVID pandemic and liberal use of corticosteroids in the treatment.

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Section: Invasive Fsn-aspergillosissupporting

confidence: 67%

Clinicopathological Study of Non-Neoplastic Lesions of Nasal Cavity and Paranasal Sinuses in a Tertiary Care Teaching Hospital

SAINI,

Badyal,

SINGH

et al. 2023

Asian J Pharm Clin Res

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“…Generally, aspergillus infection is believed to be an opportunistic pathogen which is commonly seen in maxillary sinus due to the indirect inhalation of the spores of aspergillus species from the environment mixed with dust. 25,26 About 10% of the case with sinusitis was found to be aspergilloma, predominantly maxillary sinus. 27,28 Aspergilloma in maxillary sinus can extend to the orbit and cranial vault along the skull base in severe cases, which can be easily misdiagnosed as malignancy.…”

Section: Discussionmentioning

confidence: 99%

Case analysis and systematic review of aspergilloma

Benitha

Ramani

Krishnan

et al. 2021

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Among various fungal pathogens, <em>Aspergillus fumigatus</em> is the most prevalent human pathogen reported to cause human disease such as aspergilloma or aspergillosis. Aspergillomas are commonly seen in a poorly drained and avascular cavitary space which evokes an inflammatory reaction. Most commonly involving paranasal sinuses especially maxillary sinus. For the past 2 decades incidence of aspergillosis has increased substantially. The main objective of this systematic review was to evaluate the cases reported to be aspergilloma of maxillary sinus and to determine the percentage of cases involving aspergilloma of maxillary sinus in healthy individuals. After the final full text review, 16 articles were included in this systematic review. Data were extracted from the full text articles and reviewed and extracted content. About 83% had a history of dental procedures, with 42% of those being due to infection from previous extraction sockets and 41% due to RCT. About 43% of the patients in this study were immunocompromised, while 56% were healthy and had no known predisposing conditions. The aspergillus fungal infections affecting the paranasal sinuses are common which can affect apparently healthy as well as immunocompromised individuals. Aspergilloma is the most common fungal infection involving maxillary sinus with iatrogenic dentogenic factors being the most predominant factor for the initiation and progression of aspergillus fungal infection. About 43% of the patients in this review were immunocompromised patients whereas 56% of the patients were healthy without any known predisposing conditions. The progression and prognosis of these diseases depends on the location and immunologic status of the patient. So, it is very important for the dentists to be more cautious while performing any dental procedures so as not to initiate any iatrogenic infections.</p>

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“…Despite the enormous diversity among species of Aspergillus , only a few thermotolerant groups are capable of causing an opportunistic infection, known as aspergillosis, in human beings. 1 2 3 Aspergilloma is the most common subtype of aspergillosis; it is defined as noninvasive chronic fungal sinusitis, and is predominantly seen in the maxillary antrum of immunocompetent hosts. 4 Aspergilloma is usually asymptomatic and it may take several years for symptoms to occur.…”

mentioning

confidence: 99%

Maxillary sinus aspergilloma of odontogenic origin: Report of 2 cases with cone-beam computed tomographic findings and review of the literature

et al. 2018

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Aspergilloma of the maxillary sinus is considered rare in immunocompetent patients, but a considerable increase has recently been seen in the incidence of reported cases. Dental procedures involving the antral region are thought to predispose individuals to this form of aspergillosis. Because aspergilloma shares similar clinical features with other sinus pathologies, its diagnosis may be delayed. Thus, an early diagnosis confirmed by a histopathological examination plays a crucial role in the adequate management of aspergilloma. This article provides a concise review of the reported cases of aspergilloma associated with dental procedures and reports 2 new cases of aspergilloma in middle-aged female patients, with a presentation of their cone-beam computed tomographic findings.

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Invasive maxillary aspergillosis after dental extraction

Cited by 10 publications

References 14 publications

Clinicopathological Study of Non-Neoplastic Lesions of Nasal Cavity and Paranasal Sinuses in a Tertiary Care Teaching Hospital

Clinicopathological Study of Non-Neoplastic Lesions of Nasal Cavity and Paranasal Sinuses in a Tertiary Care Teaching Hospital

Case analysis and systematic review of aspergilloma

Maxillary sinus aspergilloma of odontogenic origin: Report of 2 cases with cone-beam computed tomographic findings and review of the literature

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