Aspergillosis of the paranasal sinuses

T. Chang*, M. M.H. Teng, S. F. Wang, W. Y. Li, C. C. Cheng, J. F. Lirng

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

46 Scopus citations


The CT appearances of 13 cases of pathologically proven aspergillosis involving paranasal sinuses were reviewed. Symptoms included rhinorrhea, nasal obstruction, headache, facial pain and foul smell from the nose. At operation, these lesions appeared yellowish, brownish, grey or black in colour, and contained dirty or muddy material. Microscopic examination of the tissue removed showed an Aspergillus ball with chronic inflammation but without invasion of the nasal or sinus mucosa in 6 cases, and tissue invasion with necrosis and inflammation in 7. The structures involved, in order of frequency, were: maxillary sinus, nasal cavity, ethmoid sinus, orbit and cavernous sinus. The orbit was involved in 2 cases, therefore categorized as invasive; the other 11 cases were non-invasive as judged by CT. Calcification was seen in the lesions of 9 cases. In most cases the adjacent bony structures showed areas of erosion and sclerosis. Aspergillosis should be suspected in the presence of a mass in the paranasal sinuses or nasal cavity with calcification within it, which may not appear solid or dense and is separate from the walls of the sinus.

Original languageEnglish
Pages (from-to)520-523
Number of pages4
Issue number6
StatePublished - Nov 1992


  • Aspergillosis
  • Computed tomography
  • Fungus
  • Paranasal sinuses


Dive into the research topics of 'Aspergillosis of the paranasal sinuses'. Together they form a unique fingerprint.

Cite this