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Paranasal Sinus Fungus Ball, Anatomical Variations and Dental Pathologies: Is There Any Relation?
Bayram Şahin1, Şenol Çomoğlu1, Said Sönmez1
1Department of Otorhinolaryngology & Head and Neck Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey.
Nasal anatomical variations, like deviated septum, are linked to fungus balls (FB) in the maxillary sinus. Dental issues also significantly correlate with maxillary sinus FB, suggesting a connection between oral health and sinus infections.
Area of Science:
- Otolaryngology
- Medical Mycology
- Radiology
Background:
- Fungal sinusitis, specifically fungus balls (FB), can be influenced by anatomical factors.
- Understanding these relationships aids in diagnosis and treatment of sinonasal fungal infections.
Purpose of the Study:
- To investigate the link between anatomical variations and fungal balls (FB) in the sinuses.
- To determine the association between odontogenic causes and maxillary sinus FB.
Main Methods:
- Analysis of clinical records for 66 patients undergoing endoscopic sinus surgery for FB.
- Assessment of anatomical variations including nasal septal deviation, Onodi cell, Haller cell, concha bullosa, and sphenoid sinus lateral recess.
- Review of dental X-rays for odontogenic etiologies in maxillary sinus FB cases.
Main Results:
- A statistically significant correlation was found between nasal septal deviation (NSD) and maxillary sinus FB localization (p=0.0409), with FB more common on the concave side.
- Dental pathologies showed a significant association with maxillary sinus FB (p=0.0011).
- A significant relationship was observed between sphenoid sinus FB and the presence of a lateral recess (p=0.0262).
Conclusions:
- Maxillary sinus FB prevalence is higher on the concave side of a deviated nasal septum.
- Odontogenic factors and dental treatment history are associated with maxillary sinus FB.
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