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Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes

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https://doi.org/10.2399/jmu.2015003007
Pınar, E., İmre, A., Ata Ece, A., Aladağ, İbrahim, Aslan, H., Özkul, Y., & Dinçer, E. (2015). Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes. ENT Updates, 5(3). https://doi.org/10.2399/jmu.2015003007
Volume 5 Issue 3 (2015)
Copyright (c) 2015 Ercan Pınar, Abdulkadir İmre, Ahmet Ata Ece, İbrahim Aladağ, Hale Aslan, Yılmaz Özkul, Elif Dinçer
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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors

  • Ercan Pınar
    Department of Otorhinolaryngology, School of Medicine, İzmir Katip Çelebi University, İzmir, Turkey
  • Abdulkadir İmre Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • Ahmet Ata Ece Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • İbrahim Aladağ Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • Hale Aslan Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • Yılmaz Özkul Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey
  • Elif Dinçer Department of Otorhinolaryngology, Izmir Katip Çelebi University Atatürk Training and Research Hospital, Izmir, Turkey

Objective: The aim of the present study was to analyse the clinical, radiographic, and surgical outcomes of paranasal fungus ball.

Methods: A retrospective data analysis was performed on 16 patients who underwent endoscopic sinus surgery for paranasal sinus fungus ball between December 2005 and November 2014. The patient’s demographic data, clinical presentations, radiological findings and surgical outcomes were analysed.

Results: There were 10 female (62.5%) and six male (37.5%) patients with a mean age of 53.6 (range: 32 to 74) years. Most common symptoms were headache and facial pain. Computed tomography showed a hyper-dense area in 12 patients (75%) and sclerosis in bony walls of the sinus in 13 patients (81.3%). Magnetic resonance imaging revealed a marked low intensity on T2 weighted images in all cases (100%). All patients were treated with functional endoscopic sinus surgery. Only one patient had a recurrence in the postoperative period.

Conclusion: The surgical opening of affected sinus ostium and removal of the fungal concentration were the treatment of choice in all cases.

Keywords:

Paranasal sinus fungus ball mycetoma surgery

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