case_images: PMC5242065_01
case_images: Computed tomography imaging of congested ostium and radiopaque appearance
case_images: NJMS-7-105-g001.jpg
case_images: PMC5242065_01_NJMS-7-105-g001.jpg
case_images: F1
case_images: The patient consulted an ENT specialist and computed tomography revealed that the left middle meatus was congested with radiopaque substance [Figure 1].
case_images: defluxion from fistula
case_images: NJMS-7-105-g002.jpg
case_images: PMC5242065_01_NJMS-7-105-g002.jpg
case_images: F2
case_images: Besides, endoscopic sinus examination showed that there was pus drainage from maxillary sinus to inferior meatus through fistula [Figure 2], and augmented amoxicillin with clavulanic acid (Augmentin, 1 g) was prescribed for 2 weeks to control sinusitis.
case_images: granulation formation
case_images: NJMS-7-105-g003.jpg
case_images: PMC5242065_01_NJMS-7-105-g003.jpg
case_images: F3
case_images: After 2 weeks, a granulation tissue in the maxillary sinus was observed during the endoscopic examination [Figure 3], and FESS was performed for decontamination of the maxillary sinus and correction of ostium function.
case_images: (a) middle meatal antrostomy, (b) removal of substance located in the maxillary sinus, (c) postoperative appearance of the middle meatus
case_images: NJMS-7-105-g004.jpg
case_images: PMC5242065_01_NJMS-7-105-g004.jpg
case_images: F4
case_images: Augmented amoxicillin with clavulanic acid (Augmentin, 1 g) was prescribed for 2 weeks again after FESS, and histopathological examination of the substance removed from the sinus revealed aspergillosis [Figure 4a-c].