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FUNGGAL SINUSITIS

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The maxillary sinus continues to grow until eruption of the permanent teeth (4). The adult sinus is variable in its extension, in one-half of cases extending into the alveolar process forming an alveolar recess. In these instances the sinus comes in close proximity to the roots of the maxillary posterior teeth. With the loss of posterior teeth, the sinus can extend further into the alveolar bone, even reaching the alveolar ridge occasionally (4). The roof of the maxillary sinus forms the floor of the orbit and is a thin bone wall with the infra- orbital neurovascular bundle in its centre. The. | DAV1D GLE1NSER MD PATRICIA MAESO MD THE university of TEXAS MEDICAL BRANCH UTMB HEALTH DEPARTMENT of otolaryngology GRAND ROUNDS PRESENTATION jAnUArY 30 2012 INTRODUCTION Fungi are ubiquitous Immune system keeps organisms suppressed Most infections are benign non-invasive Immunocompromised - higher risk of invasive disease Non-invasive vs. invasive BASIC mycology 20 000 - 1.5 million fungal species Few dozen species cause human infection Forms yeast or mold Yeast o Unicellular o Reproduce asexually by budding Pseudohyphae - when bud doesn t detach from yeast Mold o Multicellular o Grow by branching - .

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