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P392: CHRONIC INVASIVE FUNGAL SINUSITIS OF THE INFERIOR ORBITAL FISSURE
Christopher Jabbour, MD¹; Linda Yin, MD²; Janalee Stokken, MD²; ¹NYU Langone Health; ²Mayo Clinic

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. 

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