title: Nasal septal perforation caused by invasive fungal sinusitis.
abstract: Nasal septal perforation presents a distinct challenge to otorhinolaryngologists, and is a problem for patients. Although it has a variety of causes, previous septal surgery is the most common reason. We present a 57-year-old woman who had recurrent chronic sinusitis. A left nasal mass was noted and excised via endoscopic sinus surgery. Invasive aspergillosis sinusitis was proven both grossly and histopathologically, and a nasal septal perforation was also noted during the operation. Although there has been only a single other case presented by Siberry in 1997, we postulate that perforation of the nasal septum as with the case described herein is a rare complication of invasive fungal sinusitis.
authors.affiliation: Department of Otolaryngology, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
authors.forename: Wai-Tin
authors.initials: WT
authors.lastname: Kuo
authors.forename: Ta-Jen
authors.initials: TJ
authors.lastname: Lee
authors.forename: Ying-Lin
authors.initials: YL
authors.lastname: Chen
authors.forename: Chi-Che
authors.initials: CC
authors.lastname: Huang
mesh_terms: D000368:Aged; D001228:Aspergillosis / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D009300:Nasal Septum; D009668:Nose Diseases / Q000209:etiology*; D012852:Sinusitis / Q000150:complications* / Q000473:pathology