Abstract
Background: Sinus fungus ball (FB) is a non-invasive mycosis that affects immunocompetent hosts, most frequently localized in the maxillary sinus. The current golden standard treatment is surgical removal. Objective: To evaluate the effectiveness of an endonasal endoscopically assisted approach to remove a maxillary FB combined or not with a transoral approach (sinusoscopy via canine fossa). Methods: A retrospective evaluation of paranasal FB treated by functional endoscopic sinus surgery (FESS) + transoral approach, compared to those treated by a sole FESS procedure. Results: In total, 65 out of 90 patients presented with a maxillary localization and were treated by FESS. Thirthy-three patients received a combined FESS + transoral approach and 32 received solely a FESS procedure. Antimycotic medical therapy was not used in any case. With a mean follow-up of 93 months, the treatment was successful in 62 patients (95,4%) without significant differences between the two groups. Conclusions: Our data confirm the efficacy of FESS in the treatment of maxillary FB. A similarity in long-term results in both groups demonstrated that transoral sinusoscopy can be avoided. With the assistance of lateral-view and flexible endoscopes, angled surgical equipment and maxillary saline solution irrigations, complete removal of the diseased material and sinus clearance can be achieved by a sole middle meatotomy, reducing both morbidity and operating time.
| Original language | English |
|---|---|
| Pages (from-to) | 385-388 |
| Number of pages | 4 |
| Journal | Rhinology |
| Volume | 47 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Dec 2009 |
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Keywords
- Canine fossa
- Functional endoscopic sinus surgery
- Fungus ball
- Maxillary sinus
- Mycosis
ASJC Scopus subject areas
- Otorhinolaryngology
Cite this
Is canine fossa access necessary for successful maxillary fungus ball treatment? / Pagella, Fabio; Matti, Elina; Giourgos, Georgios; Colombo, Andrea; De Bernardi, Francesca; Castelnuovo, Paolo.
In: Rhinology, Vol. 47, No. 4, 12.2009, p. 385-388.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Is canine fossa access necessary for successful maxillary fungus ball treatment?
AU - Pagella, Fabio
AU - Matti, Elina
AU - Giourgos, Georgios
AU - Colombo, Andrea
AU - De Bernardi, Francesca
AU - Castelnuovo, Paolo
PY - 2009/12
Y1 - 2009/12
N2 - Background: Sinus fungus ball (FB) is a non-invasive mycosis that affects immunocompetent hosts, most frequently localized in the maxillary sinus. The current golden standard treatment is surgical removal. Objective: To evaluate the effectiveness of an endonasal endoscopically assisted approach to remove a maxillary FB combined or not with a transoral approach (sinusoscopy via canine fossa). Methods: A retrospective evaluation of paranasal FB treated by functional endoscopic sinus surgery (FESS) + transoral approach, compared to those treated by a sole FESS procedure. Results: In total, 65 out of 90 patients presented with a maxillary localization and were treated by FESS. Thirthy-three patients received a combined FESS + transoral approach and 32 received solely a FESS procedure. Antimycotic medical therapy was not used in any case. With a mean follow-up of 93 months, the treatment was successful in 62 patients (95,4%) without significant differences between the two groups. Conclusions: Our data confirm the efficacy of FESS in the treatment of maxillary FB. A similarity in long-term results in both groups demonstrated that transoral sinusoscopy can be avoided. With the assistance of lateral-view and flexible endoscopes, angled surgical equipment and maxillary saline solution irrigations, complete removal of the diseased material and sinus clearance can be achieved by a sole middle meatotomy, reducing both morbidity and operating time.
AB - Background: Sinus fungus ball (FB) is a non-invasive mycosis that affects immunocompetent hosts, most frequently localized in the maxillary sinus. The current golden standard treatment is surgical removal. Objective: To evaluate the effectiveness of an endonasal endoscopically assisted approach to remove a maxillary FB combined or not with a transoral approach (sinusoscopy via canine fossa). Methods: A retrospective evaluation of paranasal FB treated by functional endoscopic sinus surgery (FESS) + transoral approach, compared to those treated by a sole FESS procedure. Results: In total, 65 out of 90 patients presented with a maxillary localization and were treated by FESS. Thirthy-three patients received a combined FESS + transoral approach and 32 received solely a FESS procedure. Antimycotic medical therapy was not used in any case. With a mean follow-up of 93 months, the treatment was successful in 62 patients (95,4%) without significant differences between the two groups. Conclusions: Our data confirm the efficacy of FESS in the treatment of maxillary FB. A similarity in long-term results in both groups demonstrated that transoral sinusoscopy can be avoided. With the assistance of lateral-view and flexible endoscopes, angled surgical equipment and maxillary saline solution irrigations, complete removal of the diseased material and sinus clearance can be achieved by a sole middle meatotomy, reducing both morbidity and operating time.
KW - Canine fossa
KW - Functional endoscopic sinus surgery
KW - Fungus ball
KW - Maxillary sinus
KW - Mycosis
UR - http://www.scopus.com/inward/record.url?scp=72849147817&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=72849147817&partnerID=8YFLogxK
U2 - 10.4193/Rhin08.234
DO - 10.4193/Rhin08.234
M3 - Article
C2 - 19936363
AN - SCOPUS:72849147817
VL - 47
SP - 385
EP - 388
JO - Rhinology
JF - Rhinology
SN - 0300-0729
IS - 4
ER -