Clinical Characteristics of Sphenoid Sinus Fungal Ball Patients With Visual Disturbance
Objectives A sphenoid sinus fungal ball is a rare disease that can cause visual disturbances. Most afflicted patients remain in an indolent state. However, once the visual disturbance has occurred, the recovery rate is very low. The purpose of this study was to overview the clinical characteristics...
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| Format: | Article |
| Language: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2016-12-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.e-ceo.org/upload/pdf/ceo-2015-01571.pdf |
| _version_ | 1819263230198939648 |
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| author | Jong Sei Kim Byung Kil Kim Sang Duk Hong Hyung Jin Kim Hyo Yeol Kim |
| author_facet | Jong Sei Kim Byung Kil Kim Sang Duk Hong Hyung Jin Kim Hyo Yeol Kim |
| author_sort | Jong Sei Kim |
| collection | DOAJ |
| description | Objectives A sphenoid sinus fungal ball is a rare disease that can cause visual disturbances. Most afflicted patients remain in an indolent state. However, once the visual disturbance has occurred, the recovery rate is very low. The purpose of this study was to overview the clinical characteristics of patients with a sphenoid sinus fungal ball and ascertain factors possibly related to the occurrence of a visual disturbance. Methods We retrospectively reviewed the medical records of all patients who underwent endoscopic sinus surgery for a sphenoid sinus fungal ball at our hospital. We enrolled 47 patients in this study. Results Old age and a female predominance were noted. Nasal symptoms were the most common symptom. Eight patients showed visual disturbances. We also compared the clinical characteristics between patients with and without visual disturbances in univariate analysis. Old age, underlying diabetes mellitus, and a sphenoid sinus wall defect visible by computed tomography were factors significantly related to the occurrence of visual disturbances. But only sphenoid sinus wall defect showed significance in multivariate analysis. Conclusion It is important to prevent complications, such as visual disturbance, in patients with a sphenoid sinus fungal ball. This study describes an early surgical treatment that may be required for patients with a sphenoid sinus fungal ball and particularly patients with a sphenoid sinus wall defect. |
| first_indexed | 2024-12-23T20:10:17Z |
| format | Article |
| id | doaj.art-42a10d7e3247475ab59db950ec2644b8 |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-12-23T20:10:17Z |
| publishDate | 2016-12-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-42a10d7e3247475ab59db950ec2644b82022-12-21T17:32:49ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202016-12-019432633110.21053/ceo.2015.01571459Clinical Characteristics of Sphenoid Sinus Fungal Ball Patients With Visual DisturbanceJong Sei Kim0Byung Kil Kim1Sang Duk Hong2Hyung Jin Kim3Hyo Yeol Kim4 Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, KoreaObjectives A sphenoid sinus fungal ball is a rare disease that can cause visual disturbances. Most afflicted patients remain in an indolent state. However, once the visual disturbance has occurred, the recovery rate is very low. The purpose of this study was to overview the clinical characteristics of patients with a sphenoid sinus fungal ball and ascertain factors possibly related to the occurrence of a visual disturbance. Methods We retrospectively reviewed the medical records of all patients who underwent endoscopic sinus surgery for a sphenoid sinus fungal ball at our hospital. We enrolled 47 patients in this study. Results Old age and a female predominance were noted. Nasal symptoms were the most common symptom. Eight patients showed visual disturbances. We also compared the clinical characteristics between patients with and without visual disturbances in univariate analysis. Old age, underlying diabetes mellitus, and a sphenoid sinus wall defect visible by computed tomography were factors significantly related to the occurrence of visual disturbances. But only sphenoid sinus wall defect showed significance in multivariate analysis. Conclusion It is important to prevent complications, such as visual disturbance, in patients with a sphenoid sinus fungal ball. This study describes an early surgical treatment that may be required for patients with a sphenoid sinus fungal ball and particularly patients with a sphenoid sinus wall defect.http://www.e-ceo.org/upload/pdf/ceo-2015-01571.pdfSphenoid SinusAspergillosisVision Disorders |
| spellingShingle | Jong Sei Kim Byung Kil Kim Sang Duk Hong Hyung Jin Kim Hyo Yeol Kim Clinical Characteristics of Sphenoid Sinus Fungal Ball Patients With Visual Disturbance Clinical and Experimental Otorhinolaryngology Sphenoid Sinus Aspergillosis Vision Disorders |
| title | Clinical Characteristics of Sphenoid Sinus Fungal Ball Patients With Visual Disturbance |
| title_full | Clinical Characteristics of Sphenoid Sinus Fungal Ball Patients With Visual Disturbance |
| title_fullStr | Clinical Characteristics of Sphenoid Sinus Fungal Ball Patients With Visual Disturbance |
| title_full_unstemmed | Clinical Characteristics of Sphenoid Sinus Fungal Ball Patients With Visual Disturbance |
| title_short | Clinical Characteristics of Sphenoid Sinus Fungal Ball Patients With Visual Disturbance |
| title_sort | clinical characteristics of sphenoid sinus fungal ball patients with visual disturbance |
| topic | Sphenoid Sinus Aspergillosis Vision Disorders |
| url | http://www.e-ceo.org/upload/pdf/ceo-2015-01571.pdf |
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