title: [Unilateral frontal sinus aspergillosis: the combined endoscopic and mini-trephination approach].
abstract: OBJECTIVE
  Aspergillosis is a common fungal infection of the paranasal sinuses. Localization in the frontal sinus is usually secondary to involvement of one of the other sinuses. Isolated frontal sinus aspergillosis is rare and only 5 cases are described in literature.
  
  
  METHODS
  We report a case of a patient with a frontal sinus aspergilloma associated with ipsilateral chronic ethmoidal and maxillary sinusitis, successfully treated with a combined endoscopic and mini-trephination approach "Lemoyne technique".
  
  
  CONCLUSIONS
  The endoscopic approach to the frontal sinus is considered the best way to deal with frontal sinus aspergilloma, but it is sometimes not sufficient to guarantee the complete removal of the fungus ball. In such cases a mini-trephination of the frontal sinus with associated irrigation provides a more accurate visualization and toilette of the sinus.
authors: G. Portmann Institute, Roma, Italy.
authors: V
authors: V
authors: Rinaldi
authors: D
authors: D
authors: Portmann
authors: Ph
authors: P
authors: Boudard
mesh_terms: D001228:Aspergillosis / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005626:Frontal Sinus / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D014207:Trephining / Q000379:methods*