Factors affecting the occurrence of maxillary sinus fungus ball
Hye-Bin Jang1, Dong Hoon Lee1, Sang Chul Lim1
1Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Hwasun Hospital, Hwasun, Republic of Korea.
Objective:
We identified patients who initially did not have a maxillary sinus fungus ball on computed tomography (CT) but developed it on a subsequent CT scan. We assessed potential risk factors for developing a maxillary sinus fungus ball between the two scans.
Patients And Methods:
This study included 35 patients with 38 lesions who initially had no maxillary sinus fungus balls on CT but were later diagnosed with the condition and underwent surgery.
Results:
We analyzed 38 lesions in 35 patients, each of whom had normal CT scan results initially but later developed a maxillary sinus fungus ball. No specific risk factors for developing a maxillary sinus fungus ball were identified. However, when compared to the maxillary sinusitis group, facial trauma and dental implant surgery appeared to be associated with maxillary sinus fungus ball formation (p < 0.05).
Conclusion:
We investigated factors influencing the development of maxillary sinus fungus balls that were absent in previous CT scans and found no significant risk factors. Nonetheless, relative to the maxillary sinusitis (control) group, the maxillary sinus fungus ball group tended to have more previous facial trauma and dental implant surgery.
Insights
Maxillary sinus fungus balls can develop over time. While no specific risk factors were found, facial trauma and dental implant surgery may be associated with their development.
Area of Science:
- Otolaryngology
- Radiology
Background:
- Maxillary sinus fungus balls are a common condition.
- Computed tomography (CT) is crucial for diagnosis.
Purpose of the Study:
- To identify risk factors for developing maxillary sinus fungus balls in patients whose initial CT scans were normal.
- To analyze factors associated with the development of maxillary sinus fungus balls.
Main Methods:
- Retrospective analysis of 35 patients (38 lesions) who developed maxillary sinus fungus balls on subsequent CT scans.
- Comparison with a control group with maxillary sinusitis.
Main Results:
- No specific risk factors for developing maxillary sinus fungus balls were identified.
- Facial trauma and dental implant surgery showed a potential association with maxillary sinus fungus ball formation compared to the control group (p < 0.05).
Conclusions:
- No definitive risk factors were found for the development of maxillary sinus fungus balls.
- Previous facial trauma and dental implant surgery may be linked to maxillary sinus fungus ball development.
Related Concept Videos
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Cystic Fibrosis: Pathogenesis
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation,...
Fungal Group Zygomycota
Cystic Fibrosis: Management
Sinus disease and chronic...
Factors Influencing Microbial Growth: Osmolarity


