[Clinical analysis on 55 cases of paranasal sinus fungus ball]
Jun Su1, Zezhang Tao, Yonggang Kong
1Department of Otolaryngology-Head and Neck Surgery, People's Hospital of Wuhan University, Wuhan, 430060, China.
Objective:
To explore the etiology of paranasal sinus fungus ball and evaluate the curative effect of endoscopic sinus surgery on paranasal sinus fungus ball.
Method:
The clinical and follow-up data of 55 patients with paranasal sinus fungus ball were retrospectively analyzed.
Result:
All patients were cured by endoscopic sinus surgery, no complications were observed. Following up for 6-48 months, two cases were recurred.
Conclusion:
Anatomic abnormalities of the paranasal sinuses and wound in the mucosa are the main pathogenesis of paranasal sinus fungus ball. Endoscopic sinus surgery is an effective treatment of paranasal sinus fungus ball. Relapse rate is related with regular irrigation after operation.
Insights
Paranasal sinus fungus balls are often caused by anatomical issues. Endoscopic sinus surgery offers an effective treatment, with regular irrigation reducing recurrence rates.
Area of Science:
- Otolaryngology
- Rhinosinusology
Context:
- Fungal sinusitis, specifically fungus ball, presents a unique clinical challenge.
- Understanding the pathogenesis is crucial for effective management.
Purpose:
- To investigate the causes of paranasal sinus fungus ball.
- To assess the efficacy of endoscopic sinus surgery (ESS) for treating this condition.
Summary:
- This retrospective study analyzed 55 patients diagnosed with paranasal sinus fungus ball.
- All patients underwent ESS, resulting in a cure with no immediate complications.
- Long-term follow-up (6-48 months) revealed a low recurrence rate of two cases.
Impact:
- Identifies anatomical abnormalities and mucosal injury as key etiological factors.
- Establishes ESS as a highly effective treatment for paranasal sinus fungus ball.
- Highlights the importance of postoperative irrigation in preventing relapse.
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