A rare fungal growth shaped like a tooth was removed from the paranasal sinus of a patient with a tumor, relieving a long struggle with breathing. The operation, performed at a regional hospital, showcases how fungal diseases can mimic other problems in the nasal passages and sinuses. The case highlights the importance of timely imaging, accurate diagnosis, and careful surgical planning to protect nearby structures in the face and eyes. The team reported that the patient recovered well after surgery and was discharged in good condition.
Mycetoma is a fungal infection that usually appears on the skin but can form mass-like lesions inside the paranasal sinuses. In a 16-year-old girl from Tyumen, the growth resembled a tooth in shape and caused noticeable breathing difficulty. The surgical team completed a successful endoscopic procedure, removing the mass and preserving surrounding nasal tissues. The patient’s postoperative course was uncomplicated, and she left the hospital in satisfactory health with improvements in breathing and daily comfort. The care team noted the rarity of such a presentation in youth, as mycetoma is more often seen in adults, making this case particularly notable in the pediatric population.
During the endoscopic operation, surgeons were surprised by the presence of a mycetoma tumor in the lower nasal cavity. The condition is typically associated with adults, making this instance a first for the attending pediatric otolaryngology team in several years. The medical staff emphasized that while mycetomas are benign in structure, they can lead to progressive destruction of nasal bones and adjacent organs if not treated. Timely removal via endoscopy can prevent complications and preserve vision by avoiding damage to adjacent orbital structures. The case underscores the value of recognizing atypical presentations in young patients and confirms that pediatric surgeons are capable of managing such unusual lesions with careful technique and postoperative follow-up.
Untreated mycetoma can progressively erode nasal walls and potentially threaten the eyes, underscoring the need for early intervention. In this instance, the surgical team implemented a precise, minimally invasive approach that minimized tissue disruption while ensuring complete removal of the fungal mass. Postoperative plans included surveillance to monitor for recurrence and to manage any residual symptoms, ensuring a safe recovery trajectory for the patient. The experience contributes to the growing body of evidence that endoscopic management can be both effective and safe for rare sinus mycetomas in younger patients. It also serves as a reminder to clinicians to consider fungal etiologies when evaluating chronic nasal obstruction, even in younger individuals, to avoid delays in diagnosis and treatment.
In related regional health news, other cases in different specialties have demonstrated the importance of multidisciplinary collaboration and timely intervention in improving patient outcomes. The medical community continues to share findings that enhance diagnostic accuracy and refine surgical techniques, ultimately supporting better overall nasal and sinus health for patients across the region.