TITLE

Sphenoid sinus fungus ball: Our experience

AUTHOR(S)
Pagella, Fabio; Pusateri, Alessandro; Matti, Elina; Giourgos, Georgios; Cavanna, Caterina; De Bernardi, Francesca; Bignami, Maurizio; Castelnuovo, Paolo
PUB. DATE
July 2011
SOURCE
American Journal of Rhinology & Allergy;Jul/Aug2011, Vol. 25 Issue 4, p276
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Fungal rhinosinusitis is a common disease of the paranasal sinuses. The fungus ball (FB) is defined as an extramucosal mycotic proliferation that fills one or more paranasal sinuses. Sphenoid sinus is an uncommon localization of this disease, as reported in the literature. This study describes our experience in the diagnosis and treatment of sphenoid sinus FB (SSFB), with a particular focus on the surgical approach to the sphenoid sinus. Methods: We retrospectively analyzed the clinical records of patients affected by FB of the sphenoid sinus, who underwent endoscopic sinus surgery (ESS) in our institutions between 1995 and 2009. We described the surgical technique, the methods of mycological and histopathological evaluation, as well as the perioperative and postoperative management. Results: From 1995 to 2009, 226 patients affected by sinonasal FB underwent ESS in our institutions. A sphenoid localization was found in 56 patients (24.78%; mean age, 62 years). Cephalea was the most common symptom, and 14.3% of patients complained of ocular symptoms. We performed a direct paraseptal sphenoidotomy in 31 patients (55.4%) and a transethmoidal sphenoidotomy in 25 patients (44.6%). Histology unveiled fungal hyphae with absent mucosal invasion in all cases. Cultural results revealed positivity for mycotic colonization in 26 cases (46.4%, most commonly Aspergillus fumigatus). Follow-up ranged from 12 to 181 months with a mean of 70.7 months. Conclusion: The description of our experience in the diagnosis and treatment of SSFB underlines the importance of a precise diagnostic pathway in case of sphenoidal disease. Nowadays, in our opinion, the paraseptal direct sphenoidotomy represents the less invasive, fastest and most anatomically conservative approach to the sphenoid sinus in case of SSFB.
ACCESSION #
62541125

 

Related Articles

  • Idiopathic Juxtafoveolar Retinal Telangiectasis: A Current Review. Nowilaty, Sawsan R.; Al-Shamsi, Hanan N.; Al-Khars, Wajeeha // Middle East African Journal of Ophthalmology;Jul-Sep2010, Vol. 17 Issue 3, p224 

    Idiopathic juxtafoveolar retinal telangiectasis (IJFT), also known as parafoveal telangiectasis or idiopathic macular telangiectasia, refers to a heterogeneous group of well-recognized clinical entities characterized by telangiectatic alterations of the juxtafoveolar capillary network of one or...

  • Aspergillus pituitary abscess. Iplikcioglu, A. C.; Bek, S.; Bikmaz, K.; Ceylan, D.; Gökduman, C. A. // Acta Neurochirurgica;May2004, Vol. 146 Issue 5, p521 

    Background.Pituitary abscess is rare and most of the cases are of bacterial origin. True fungal pituitary abscess is extremely rare only five cases have been reported. In this report, we present a case of aspergillus pituitary abscess. Mortality rate in intracranial aspergillosis is close to...

  • Rosai-Dorfman disease mimicking a sphenoid wing meningioma. Sharma, Manish S.; De. Padua, Michelle; Jha, Ajaya N. // Neurology India;Mar2005, Vol. 53 Issue 1, p110 

    A 40-year-old male presented with a single generalized tonic-clonic seizure. MRI revealed an enhancing, dural-based, left lateral sphenoid wing lesion suggestive of a meningioma. At microsurgical excision, the lesion was firm and relatively avascular. The histopathological report revealed S-100...

  • Fungal Keratitis.  // Review of Optometry;1/15/2007 Supplement, Vol. 144, p14 

    The article offers information about fungal keratitis, a corneal disease caused by fungal organism. The symptoms of this disease may vary including pain, photophobia, tearing and possible discharge. In addition, the risk factors for the development of fungal keratitis include ocular trauma,...

  • Challenges and pitfalls of morphologic identification of fungal infections in histologic and cytologic specimens: a ten-year retrospective review at a single institution. Ankur R Sangoi; William M Rogers; Teri A Longacre; Jose G Montoya; Ellen Jo Baron; Niaz Banaei // American Journal of Clinical Pathology;Mar2009, Vol. 131 Issue 3, p364 

    Despite the advantages of providing an early presumptive diagnosis, fungal classification by histopathology can be difficult and may lead to diagnostic error. To assess the accuracy of histologic diagnosis of fungal infections vs culture ("gold standard"), we performed a 10-year retrospective...

  • BADANIA HISTOKLINICZNE INWAZYJNEJ ASPERGILOZY U CHOREJ PO RADIOCHEMIOTERAPII. Kozielec, Zygmunt; Czeremszyńska-Respekta, Beata; Sulik, Marian; Nawrocki, Sergiusz; Szóstak, Błażej // Polish Annals of Medicine / Rocznik Medyczny;2008, Vol. 15 Issue 1, p25 

    Introduction. Fungi are organisms that are widespread in our environment. The majority of invasive fungal infections are caused by Aspergillus genus, which belongs to mould fungi. An invasive form of aspergillosis, most commonly - invasive pulmonary aspergillosis, in the majority of cases is...

  • Posterior segment ocular manifestations of HIV/AIDS patients. Chiotan, C.; Radu, L.; Serban, R.; Cornăcel, C.; Cioboată, M.; Anghelie, A. // Journal of Medicine & Life;Jul-Sep2014, Vol. 7 Issue 3, p399 

    Human immunodeficiency virus (HIV) has the ability to affect any organ in the body. In 70% of HIV -infected patients ocular manifestations were observed, these, in the vast majority reflect the systemic disease and may be the first signs of disseminated infections. Aim: The purpose of this paper...

  • Are ocular complications of a high-dose glucocorticoid treatment appropriately monitored in patients with rheumatic diseases? Han, Bobby; Yachoui, Ralph; Yi, Kayoung // Rheumatology International;Nov2013, Vol. 33 Issue 11, p2951 

    Glucocorticoid is frequently used in treating various rheumatic conditions. However it is known to cause multiple toxicities including cataract or glaucoma. In this study, we examined whether patients with rheumatic diseases had appropriate ocular monitoring for glucocorticoid toxicities. From...

  • A retrospective analysis of eleven cases of invasive rhino-orbito-cerebral mucormycosis presented with orbital apex syndrome initially. Nan Jiang; Guiqiu Zhao; Shanshan Yang; Jing Lin; Liting Hu; Chengye Che; Qian Wang; Qiang Xu; Jiang, Nan; Zhao, Guiqiu; Yang, Shanshan; Lin, Jing; Hu, Liting; Che, Chengye; Wang, Qian; Xu, Qiang // BMC Ophthalmology;1/12/2016, Vol. 16, p1 

    Background: Rhino-orbito-cerebral mucormycosis(ROCM) is an invasive fungal infection that usually occurs in immunocompromised patients and sometimes presents as orbital apex syndrome(OAS) initially. It is rapidly fatal without an early diagnosis and treatment. We report the cases of...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics