Clinical features in maxillary sinus fungus ball in patients with malignant hematological disease

2021 ◽  
Author(s):  
Yang Yang ◽  
Zhimin Xing ◽  
Lisheng Yu ◽  
Xiaopei Yuan ◽  
Min Wang ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Clinical Features ◽  
Fungus Ball ◽  
Hematological Disease

scholarly journals Unilateral Concomitant Antrochoanal Polyp and Fungus Ball in Maxillary Sinus: A Case Report

Cureus ◽  
2021 ◽  
Author(s):  
Ibrahim Issa ◽  
Derar Al-Domaidat ◽  
Adel Danish ◽  
Ro'a Al-shaikh Hasan ◽  
Hadir Elseidi
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Fungus Ball ◽  
Antrochoanal Polyp

scholarly journals Differences in clinical and imaging presentation of maxillary sinus fungus ball with and without intralesional hyperdensity

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pei-Wen Wu ◽  
Ta-Jen Lee ◽  
Shih-Wei Yang ◽  
Yenlin Huang ◽  
Yun-Shien Lee ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Clinical Characteristics ◽  
Clinical Presentation ◽  
Fungus Ball ◽  
Older Individuals ◽  
Treatment Delays ◽  
Male Ratio ◽  
Female Predominance ◽  
Fungal Hyphae ◽  
Heavy Metal Deposition

AbstractMaxillary sinus fungal balls (MSFBs) mostly occur in older individuals and demonstrate female predominance. Early diagnosis is important to avoid treatment delays. Intralesional hyperdensity (IH) indicates the presence of heavy metal deposition within fungal hyphae and has been the most specific characteristic of MSFB on computed tomography (CT). For those without IH on CT, the diagnosis of MSFB remains challenging. This study aimed to characterize clinical presentation of MSFB with and without IH and to study factors contributing to MSFB with no IH formation. We retrospectively identified 588 patients with MSFB. The clinical characteristics and CT findings were reviewed. Patients with unilateral MSFB had a mean age of 57.4 years and demonstrated female predominance (64.63%). The female-to-male ratio was highest at 51–60 years (2.02) and rose to 2.60 in MSFB with IH only. Compared to those with IH, MSFB without IH was significantly more common in males (OR = 2.49), in those with diabetes mellitus (DM) (OR = 1.87), adjacent maxillary odontogenic pathology (OR = 1.75). Complete opacification on CT was less common in MSFB without IH (OR = 0.60). Patients with MSFB without IH were more likely to have DM, no female predominance, adjacent maxillary odontogenic pathology, and partial opacification of the sinus, compared to those with IH. These may be helpful in better understanding of the formation of MSFBs without IH, early identification of them and prevention of post-operative recurrence.

scholarly journals “Gauze Technique” in the Treatment of the Fungus Ball of the Maxillary Sinus: A Technique as Simple as It Is Effective

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Pietro Garofalo ◽  
Alessandro Griffa ◽  
Georges Dumas ◽  
Flavio Perottino
Keyword(s):  
Patient Satisfaction ◽  
Maxillary Sinus ◽  
Functional Outcomes ◽  
Standard Treatment ◽  
Fungus Ball ◽  
Endoscopic Removal ◽  
Procedure Time ◽  
Cross Sectional ◽  
Significant Difference ◽  
Length Of Hospitalization

Fungus ball of maxillary sinus generally affects immunocompetent and nonatopic subjects. Although endoscopic removal is the current gold standard treatment, removal is at times difficult due to an accumulation of fungal elements in the anterior ad inferior recesses. Aim. To present our experience of maxillary fungus ball treated by the “gauze technique” that avoids these removal difficulties. Materials and Methods. A retrospective, cross-sectional, and descriptive study of 25 patients affected by maxillary fungus ball was carried out: 19 were treated by the “gauze technique” and 6 were treated without “gauze technique.” Results. A comparison was made between the two groups for surgery procedure time, length of hospitalization, time from surgery to nasal unpacking, complications, and postsurgical patient satisfaction. The only statistically significant difference observed was a shorter surgical procedure time (p<0.05) for the “gauze technique.” Conclusions. The data obtained in this study demonstrated that the “gauze technique” is a safe, simple, and quick technique, able to reduce surgery procedure time whilst providing excellent functional outcomes and patient satisfaction.

scholarly journals Septal Deviation Is Associated with Maxillary Sinus Fungus Ball in Male Patients

2014 ◽  
Vol 232 (3) ◽  
pp. 201-206 ◽  
Author(s):  
Hidetoshi Oshima ◽  
Kazuhiro Nomura ◽  
Mitsuru Sugawara ◽  
Kazuya Arakawa ◽  
Takeshi Oshima ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Septal Deviation ◽  
Fungus Ball ◽  
Male Patients

scholarly journals Wegener's Granulomatosis with Extensive Bone Abnormalities Mimicking Fungal Sinusitis

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Satoru Kodama ◽  
Nozomi Nomi ◽  
Masashi Suzuki
Keyword(s):  
Maxillary Sinus ◽  
Granulation Tissue ◽  
Wegener’S Granulomatosis ◽  
Wegener's Granulomatosis ◽  
Interesting Case ◽  
Sinus Surgery ◽  
Fungus Ball ◽  
Fungal Sinusitis ◽  
The Right ◽  
Bone Abnormalities

Abnormalities of the underlying bone of the paranasal sinuses have sometimes been shown in Wegener’s granulomatosis (WG). We describe an interesting case of WG with extensive bone abnormalities in the sinuses mimicking fungal sinusitis. A 30-year-old woman presented with intermittent unilateral epistaxis. Biopsy was performed for the granulation tissue in the right nasal cavity, and she was diagnosed as having WG. Computed tomography (CT) revealed a ring-like calcification, mimicking a fungus ball, in the right maxillary sinus. Endoscopic sinus surgery was performed to confirm the diagnosis. A spherical bony structure, surrounded by granulation tissue, was identified in the maxillary sinus. The wall of the “bony ball” was fragile, like an egg shell. No fungus was found in the sinus. Thus, the extensive bone abnormalities were due to WG.

scholarly journals Erosive and Expansile Lesion of the Maxillary Sinus by a Sinus Fungus Ball Mimicking Malignancy

2013 ◽  
pp. 1-14
Author(s):  
Dietrich Eva-Maria ◽  
Mitsimponas Konstantinos ◽  
Koloutsos Georgios ◽  
Antoniades Konstantinos
Keyword(s):  
Maxillary Sinus ◽  
Fungus Ball
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