Title:
Surgical treatment options for maxillary sinus fungus balls
Authors:
A. Dupret-Bories , S. Vergez , G. de Bonnecaze , A. Decotte and E. Serrano
Institutions:
Department of Otorhinolaryngology and Head and Neck Surgery, CHU Hautepierre, Strasbourg, France; 2Department of Otorhinolaryngology and Head and Neck Surgery, CHU Larrey, Toulouse, France
Keywords:
Aspergillus; canine fossa; endoscopic nasal surgery; fungus ball; middle meatotomy; maxillary sinus; mini- mally invasive; treatment outcome
Pages:
37 - 43
Abstract:
Surgical treatment options for maxillary sinus fungus balls. Objective : 1) To evaluate the effectiveness and side-effects of endoscopic surgical treatment for maxillary sinus fungus balls, and to describe approaches to limiting re- currence of the disease and surgical complications. 2) To compare the results of this nasal endoscopic treatment with the results of treatment using a vestibular approach to the anterior wall of the maxillary sinus as described in the literature. Patients and methods: An institutional retrospective review was conducted for patients undergoing treatment for a maxi-l lary sinus fungus ball using endonasal surgery alone from January 2005 to December 2010. Results: A total of 100 patients were included in the study (58 women and 42 men, average age 54 years). The median follow-up time was 32 months. Three patients had a recurrence after our team performed endonasal surgery. No patients experienced complications. Conclusion: Our results are consistent with previous findings, indicating that the postoperative complication rate for en- donasal surgery is low by comparison with the vestibular approach. Both techniques have similar outcomes. The nasal endoscopic route offers similar rates of success with a negligible complication rate.
Issue:
Vol. 9, 2013, 1st trimester


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Surgical treatment options for maxillary sinus fungus balls