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

Objective: The aim of the current study was to investigate a change in the volume of the frontal and maxillary sinuses in patients with nasal septum deviations due to physical trauma. Materials and Methods: Paranasal sinus computed tomography data of 100 patients admitted to Kirikkale University medical faculty hospital between November 2013 and June 2014 were retrospectively analyzed. The side of the nasal septal deviation, the deviation angle, the severity of the deviation, and bilateral frontal and maxillary sinus volumes were calculated using a computer program. The relationship between sinus volumes and deviated septum characteristics was investigated. Results: The maxillary sinus volumes did not differ between the two genders. However, the female patients had significantly decreased frontal sinus volumes when compared with the male patients (p < 0.05). A right-sided septal deviation was found to be associated with a significantly decreased maxillary sinus volume (p < 0.001), and the severity of the deviation was a significant determinant of the maxillary sinus volume (p < 0.001). The age of the patient at the time of the septal trauma was significantly associated with their maxillary sinus volumes. Patients who had experienced this trauma after 12 years of age had significantly increased maxillary sinus volumes when compared with those who experienced the trauma before the age of 12. Conclusion: A distorted septal anatomy was found to be a significant parameter for developing paranasal sinuses. Right-sided and severe traumatic deviations with an onset before the age of 12 were significantly associated with a decreased maxillary sinus volume.

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Secondary Fungus Ball Caused by a Retained Foreign Body in Maxillary Sinus

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2014.57.2.132 ◽

2014 ◽

Vol 57 (2) ◽

pp. 132 ◽

Cited By ~ 1

Author(s):

Young-Jun Chung

Keyword(s):

Foreign Body ◽

Maxillary Sinus ◽

Fungus Ball ◽

Retained Foreign Body

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Faculty Opinions recommendation of The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717990832.793489251 ◽

2014 ◽

Author(s):

Maciej Misiolek

Keyword(s):

Maxillary Sinus ◽

Maxillary Sinusitis ◽

Septal Deviation ◽

Nasal Septal Deviation

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

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-06973-5 ◽

2021 ◽

Author(s):

Yang Yang ◽

Zhimin Xing ◽

Lisheng Yu ◽

Xiaopei Yuan ◽

Min Wang ◽

...

Keyword(s):

Maxillary Sinus ◽

Clinical Features ◽

Fungus Ball ◽

Hematological Disease

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

Cureus ◽

10.7759/cureus.19844 ◽

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

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

Scientific Reports ◽

10.1038/s41598-021-03507-1 ◽

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.

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A paradigm shift: “Defect of the fontanel” instead of “Accessory ostium” and classified nasal septal deformities instead of “septal deviation”

Romanian Journal of Rhinology ◽

10.2478/rjr-2018-0024 ◽

2018 ◽

Vol 8 (32) ◽

pp. 219-223

Author(s):

Ranko Mladina ◽

Neven Skitarelić ◽

Cemal Cingi ◽

Nuray Bayar Muluk

Keyword(s):

Maxillary Sinus ◽

Paradigm Shift ◽

Nasal Septum ◽

Septal Deviation ◽

Point Of View ◽

Lateral Nasal Wall ◽

Clinical Issues ◽

Normal Finding

Abstract OBJECTIVES. The purpose of this article is to highlight some terms which have been ingrained in the rhinosinusology literature. MATERIAL AND METHODS. It regards the term “accessory ostium” and the term “septal deviation”. The well-known and deeply ingrained term “accessory ostium” has been widely used for decades, but essentially it is absolutely incorrect. “Septal deviation” is an inadequate term for the changes of the nasal septum form. RESULTS. From the linguistic point of view, “accessory” means something (or someone) which (or who) helps someone or gives support (to something or someone) in some process. We recommend the use of the term “defect of the fontanel” instead of “accessory ostium”. The use of the term “septal deformity” (from Latin: de forma, meaning the change in the shape) is etymologically much more appropriate. Septal deformities appear in man in several, well defined shapes and, therefore, can be correctly classified. The classification contributes to the further scientific conversations regarding the clinical issues connected to the changes of the nasal septum form. CONCLUSION. The usual term “accessory ostium” suggests almost a normal finding on the lateral nasal wall, but, on the contrary, it clearly signalizes that the respective maxillary sinus is chronically inflamed. The usual term “septal deviation” is not at all specific and only suggests that something is wrong with the position of the nasal septum. It does not at all imply any of the six well known types of septal deformities in man.

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