Atypical Isolated Infections of the Infratemporal Fossa: A Diagnostic Challenge

Document Type : Case Report

Authors

Department of Otorhinolaryngology, Faculty of Medicine, University Malaya, Lembah Pantai, 50603 Kuala Lumpur, Malaysia

Abstract

Introduction:
Atypical infratemporal fossa infections are rare and potentially fatal.
 
Case Report:
A case of an aspergillosis localized in the infratemporal fossa and another case of tuberculosis of the infratemporal fossa originating from the maxillary sinus, is described. The first patient was immunocompromised and showed symptoms of facial numbness; whereas the other was an immunocompetent man who complained of trigeminal neuralgia type pain. It was difficult to differentiate between infection and tumour despite the utilization of computed tomography scans and magnetic resonance imaging.
 
Conclusion: 
These cases illustrate the need for a high index of suspicion; in addition to endoscopic confirmation and histopathology to establish precise diagnosis and early intervention.

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References

[1]. Schwimmer A, Roth SE, Morrison SN. The use of computerized tomography in the diagnosis and management of temporal and infratemporal space abscesses. Oral Surg Oral Med Oral Pathol 1988; 66(1): 17-20.
2.  Leventhal D, Schwartz DN. Infratemporal fossa abscess. Arch Otolaryngol Head Neck Surg 2008; 134(5); 551-3.
3.Gallagher J, Marley J. Infratemporal and submasseteric infection following extraction of an infected maxillary third molar. Br Dental J 2003; 194(6): 307-9.
4. Weiss BR. Infratemporal fossa abscess unusual complication of maxillary sinus fracture. Laryngoscope 1977; 87(7): 1130-3.
5. Raghava N, Evans K, Basu S. Infratemporal fossa abscess: complication of maxillary sinusitis. J Laryngol Otol 2004; 118: 377-8.
6. Goyal P, Leung M, Hwang PH. Endoscopic approach to the infratemporal fossa for treatment of invasive fungal sinusitis. Am J Rhinol Allergy 2009; 23(1): 100-4.
7. Weiland D, Ferguson RM, Peterson PK, Snover DC, Simmons RL, Najarian JS. Aspergillosis in 25 renal transplant patients. Ann Surg 1983; 198(5): 622-9.
8. Gleitsmann JW. Tuberculosis of accessory sinuses of the nose. Laryngoscope 1907; 17(6): 445-50.
9. Shukla GK, Dayal D, Chabra DK. Tuberculosis of maxillary sinus. J Laryngol Otol 1972; 86: 747-54.
10. Singh S, Singh A. Primary tuberculosis of maxilla. Indian J Otolaryngol Head Neck Surg 1997; 49(1): 25-6.
11. Headley DB, Dolan KD. Infratemporal fossa abscess. Ann Otol Rhinol Laryngol 1991; 100: 516-7.
Iranian Journal of Otorhinolaryngology
Volume 27, Issue 5 - Serial Number 5
September and October 2015
Pages 391-394

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