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Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach
1Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Background:
Frontal sinus involvement in aspergillosis associated with the nose and paranasal sinuses is a common occurrence, but the incidence of primary frontal sinus aspergillosis is rare, and there are few reports in the English literature.
Objective:
This study aimed to evaluate the role of the endonasal endoscopic surgical approach for isolated primary frontal sinus aspergillosis.
Method:
This paper describes a retrospective study of 16 cases of primary frontal sinus aspergillosis. The patients had presented to the out-patient services of the Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India, between January 1999 and July 2011.
Results:
The overall success rate of the endonasal endoscopic approach was 82.25 per cent. The disease recurred in three patients and was subsequently managed using the modified Lothrop procedure.
Conclusion:
Minimally invasive endonasal endoscopic sinus surgery was found to be an effective and a safe approach for managing primary frontal sinus aspergilloma, even in cases with larger bony defects involving the posterior table of the frontal sinus.
Insights
Endoscopic sinus surgery effectively treats primary frontal sinus aspergillosis, a rare fungal infection. This minimally invasive approach offers a safe and successful option for patients with this condition.
Area of Science:
- Otolaryngology
- Mycology
- Surgical Innovation
Background:
- Primary frontal sinus aspergillosis is a rare clinical entity.
- Frontal sinus involvement is common in sinonasal aspergillosis, but isolated cases are infrequent.
- Limited English literature exists on primary frontal sinus aspergillosis.
Purpose of the Study:
- To assess the efficacy of the endonasal endoscopic surgical technique.
- To evaluate its role in treating isolated primary frontal sinus aspergillosis.
Main Methods:
- Retrospective analysis of 16 patients with primary frontal sinus aspergillosis.
- Patients were treated between January 1999 and July 2011.
- Data collected from outpatient services of Otolaryngology and Head and Neck Surgery.
Main Results:
- The endonasal endoscopic approach achieved an overall success rate of 82.25%.
- Three patients experienced disease recurrence.
- Recurrent cases were successfully managed with the modified Lothrop procedure.
Conclusions:
- Minimally invasive endonasal endoscopic sinus surgery is effective for primary frontal sinus aspergilloma.
- The approach is safe, even with extensive bony defects.
- Endoscopic surgery provides a viable treatment option for this rare condition.
