Chronic Invasive Fungal Sinusitis of the Inferior Orbital Fissure
Abstract
A 71 year old gentleman presented for a 4 months history of headaches and pressure, and 1 week history of diplopia and decreased visual acuity. Imaging showed bony erosion of the sphenoid sinus along with a heterogenous density, and inflammatory changes in the orbital apex and pterygopalatine fossa. A biopsy of the sphenoid sinus was consistent with fungal ball. He worsened postoperatively and managed with a pterygopalatine fossa exploration, inferior orbital fissure biopsy and debridement. Publication History Article published online: 27 February 2026 © 2026. Thieme. All rights reserved. Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Fields of Study & Subjects
Sinusitis and nasal conditions
Antifungal resistance and susceptibility
Head and Neck Surgical Oncology
Publication details
- Journal / source
- Journal of Neurological Surgery Part B Skull Base
- Volume
- 87
- Issue
- S 01
- Pages
- S1–S548
- Publication date
- 27 February 2026
- Language
- EN