Endoscopic orbital exenteration in the treatment of acute invasive fungal sinusitis

Abstract

Acute invasive fungal sinusitis is a rare disease with a severe and rapidly devastating course. In this report, we describe a case of Rhizopus spp. mucormycosis invading the paranasal sinuses and causing vision loss and confusion. After being biopsied and diagnosed at an outside hospital, the patient was transferred and emergently treated with antifungal therapy and surgical resection by transnasal endoscopic surgery.