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case_images: Axial (A) and coronal (B) images of a nonenhanced CT scan of the paranasal sinuses showing right maxillary sinus complete heterogenous opacification.
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case_images: A non-contrast computed-tomography scan (NCCT) of the paranasal sinuses (Fig. 1) was suggestive of isolated right fungal maxillary fungal ball (FB).
case_images: Intra-operative endoscopic view (A) right middle meatal antrostomy showing fungal debris, (B) clean right maxillary sinus after removal of the debris.
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case_images: The patient underwent endoscopic sinus surgery (ESS) with (Fig. 2) right middle meatal antrostomy and removal of fungal debris.
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case_images: Coronal (A) and axial (B) CECT scan images showing left complete maxillary sinus heterogenous opacification.
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case_images: Thus, a contrast-enhanced CT scan (CECT) (Fig. 3) was necessary which showed enhancing left maxillary sinus opacity suggestive of acute invasive fungal sinusitis.
case_images: Intra-operative endoscopic maxillary examination (A and B) showing invasive fungal debris.
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case_images: The patient underwent urgent endoscopic medial maxillectomy with removal of invasive fungal debris (Fig. 4) along with debridement of left middle turbinate, medial maxillary wall, and orbital floor.
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case_images: Coronal NCCT image of the paranasal sinuses showing isolated left complete heterogenous maxillary sinus opacification with obstructed left osteomeatal complex.
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case_images: NCCT (Fig. 5) showed left isolated heterogenous maxillary sinus opacity suggestive of allergic fungal sinusitis.
case_images: Intra-operative endoscopic view showing (A) polyps in the left osteomeatal complex with (B and C) fungal mud and mucin.
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case_images: She underwent endoscopic sinus surgery (Fig. 6) with removal of fungal mucin and mud, complete left maxillary sinus aeration was ensured.
case_images: PMC11757163_04
case_images: Coronal NCCT image of the paranasal sinuses showing isolated destructive right maxillary sinus lesion violating the right orbit.
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case_images: NCCT images (Fig. 7) revealed a destructive right maxillary sinus lesion.
case_images: Intra-operative endoscopic view showing invasive fungal granuloma in the right maxillary sinus.
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case_images: The patient underwent endoscopic sinus surgery, intra-operative frozen section showed granuloma, right medial maxillectomy with removal of the invasive fungal granuloma was performed (Fig. 8), and tissue cultures revealed Aspergillus flavus.