A Case of Fungal Ball Accompanied with a Microplate as Metallic Foreign Body in Maxillary Sinus / 대한이비인후과학회지

Fungal balls are the most frequent non-invasive form of fungal sinusitis occurring in the immunocompetent individuals. The pathophysiology of fungus balls remains questionable despite known theories such as the obstruction of osteomeatal complex and overfilling of dental cavities. Foreign bodies in maxillary sinus can cause sinusitis by persistent mucosal irritation. Most cases of foreign bodies in the maxillary sinus are related to iatrogenic dental procedure. Foreign bodies in the maxillary sinus, even if they do not result in any symptoms, should be removed because they cause fungal ball growth. Reported herein is a 76-year-old woman who has a history of dental surgery, and who was found to have a fungal ball accompanied with a metallic foreign body as a microplate between the left maxillary sinus and inferior meatus.

Extramedullary Plasmacytoma of the Lacrimal Sac and Duct Invading the Inferior Meatus : An Extremely Rare Occurrence

Extramedullary plasmacytoma (EMP) is a rare malignant plasma cell tumor. EMPs originate outside the bone marrow, particularly in the head and neck region, and can be associated with multiple myelomas. Radiotherapy is considered the treatment of choice, since surgery is limited to biopsy and excision of the residual tumor tissue. The authors report a case of a patient presenting with a history of chronic epiphora and a palpable mass in the medial canthal area, who was found to have an EMP of the lacrimal sac and duct invading the inferior meatus.