대한구강악안면방사선학회

Korean Academy of Oral and Maxillofacial Radiology

학회지

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치과 임플란트 치료계획시 상악동의 CBCT 영상에서 우연히 발견된 fungus ball의 일례
저자 : 이병도
2010년|40권 2호|Page : 93-97|조회수 441
Full Text : 2010_93.pdf (357.9K)
대한구강악안면방사선학회지 2010; 40 : 93-97 Korean

 A case report of incidental finding of fungus ball on CBCT of maxillary sinus in treatment planning of dental implant

 Lee BD

 Department of Oral and Maxillofacial Radiology, School of Dentistry, Wonkwang University, Wonkwang Peace Research Institute

 This report was to show the radiographic appearances of the fungus ball in a paranasal sinus and to emphasize the scan area of cone beam computed tomography (CBCT) to detect the calcification in the paranasal sinus. A seventyfour-year-old woman visited our department for the implant rehabilitation at both maxillary posterior edentulous region. Pre-operative radiographic examinations including the panoramic, CBCT, and multidector CT images were taken. An opacification in the right maxillary sinus was observed on the multiplanar image of CBCT, however the pre-determined scan area of CBCT in this report hardly showed the calcifications at the central portion of the maxillary sinus. The opacification in the maxillary sinus could be misdiagnosed as chronic maxillary sinusitis if the calcification of fungus ball was not simultaneously detected. The scan area of pre-operative CBCT needs to be enough to scan the paranasal sinus from top to bottom. (Korean J Oral Maxillofac Radiol 2010; 40 : 93-97)

 KEY WORDS : Maxillary Sinus; Fungi; Calcification; Cone-Beam Computed Tomography

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