Sphenoid sinus fungus balls

Bowman, James, Panizza, Benedict and Gandhi, Mitesh (2007) Sphenoid sinus fungus balls. Annals of Otology, Rhinology and Laryngology, 116 7: 514-519.

Author Bowman, James
Panizza, Benedict
Gandhi, Mitesh
Title Sphenoid sinus fungus balls
Journal name Annals of Otology, Rhinology and Laryngology   Check publisher's open access policy
ISSN 0003-4894
1943-572X
Publication date 2007-07
Sub-type Article (original research)
Volume 116
Issue 7
Start page 514
End page 519
Total pages 6
Place of publication St. Louis, MO, United States
Publisher Annals Publishing
Language eng
Formatted abstract
Objectives: We sought to examine the nature of fungal balls of the sphenoid sinus, in particular the exposure of adjacent skull base structures and the potential for surgical morbidity.
Methods: We retrospectively reviewed our series of 17 cases of sphenoid sinus fungal balls seen between 1998 and 2005 with reference to their diagnosis, radiologic changes, histopathology, and surgical management.
Results: Exposed structures included the pituitary fossa, cavernous sinus, and cavernous internal carotid artery, but this exposure did not result in an increase in perioperative complications. Sclerotic thickening of the sinus walls persisted, probably representing a chronic osteitis in response to concurrent bacterial infection. This appeared to be protective against further sinus wall erosions. Wall erosions did not heal. One patient demonstrated what appeared to be invasive fungal disease from a fungal ball.
Conclusions: Sphenoid sinus fungal balls can occur with minimal symptoms in a mainly elderly population and require surgical removal. Sphenoid sinus fungal balls have a low rate of operative morbidity and should be effectively managed by transnasal endoscopic sphenoidotomy alone.
Keyword Fungal ball
Sphenoid sinus
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Sun, 26 Jun 2011, 21:50:30 EST by Dr Benedict Panizza on behalf of Surgery - Princess Alexandra Hospital