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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Published on: January 17, 2018

Clinical features of the paranasal sinus fungus ball

Kyung Chul Lee1

  • 1Department of Otolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Korea.

The Journal of Otolaryngology
|October 30, 2007
PubMed
Abstract

Insights

Transnasal endoscopic sinus surgery effectively treats paranasal sinus fungus balls. Postoperative sinus irrigation further ensures successful outcomes with no observed recurrences or complications.

Area of Science:

  • Otolaryngology
  • Rhinosinusology
  • Medical Mycology

Background:

  • Paranasal sinus fungus ball is a common fungal infection affecting the sinuses.
  • Accurate diagnosis and effective treatment are crucial for patient outcomes.

Purpose of the Study:

  • To describe the clinical characteristics of paranasal sinus fungus balls.
  • To assess the efficacy of transnasal endoscopic sinus surgery (TESS) as a primary treatment.

Main Methods:

  • Retrospective analysis of 86 cases treated with TESS between 1995 and 2004.
  • Evaluation of clinical features, surgical techniques, operative findings, and postoperative results.
  • Inclusion of postoperative sinus irrigation in the treatment protocol.

Main Results:

  • TESS achieved successful treatment in all cases.
  • No recurrences or postoperative complications were reported.
  • Residual fungal debris in 18 cases resolved within an average of 1.7 weeks postoperatively with irrigation.

Conclusions:

  • Transnasal endoscopic sinus surgery is a highly effective primary treatment for paranasal sinus fungus ball.
  • Postoperative nasal cavity and paranasal sinus irrigation enhances treatment success.
  • The combined approach leads to excellent outcomes with minimal risk.

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