Rare Presentations of Frontal Sinus Fungus Ball: A Systematic Review
Introduction The sinus fungus ball is an agglomeration of debris and hyphae, mainly caused by Aspergillus fumigatus, within the paranasal sinus, commonly affecting a single sinus, and it only rarely affects the frontal sinus. Objective To identify the state of the art of fungus ball in pa...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2022-10-01
|
| Series: | International Archives of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740598 |
| _version_ | 1811225914557595648 |
|---|---|
| author | Bárbara Okabaiasse Luizeti Lesley Ane Roks de Lima Jonas Willian Spies Guilherme Constante Preis Sella |
| author_facet | Bárbara Okabaiasse Luizeti Lesley Ane Roks de Lima Jonas Willian Spies Guilherme Constante Preis Sella |
| author_sort | Bárbara Okabaiasse Luizeti |
| collection | DOAJ |
| description | Introduction The sinus fungus ball is an agglomeration of debris and hyphae, mainly caused by Aspergillus fumigatus, within the paranasal sinus, commonly affecting a single sinus, and it only rarely affects the frontal sinus.
Objective To identify the state of the art of fungus ball in paranasal sinuses, especially related to the epidemiology of the disease in the frontal sinus. Additionally, this article reports a rare case of fungus ball in the frontal sinus in an adult male, and discusses the variables of this condition related to the patient.
Data Synthesis All of the 8 cases of fungus ball in the frontal sinus reported in this study affected male patients: 40% had unilateral disease, and 60%, bilateral disease, contrary to the incidence data of fungus ball in the other paranasal sinuses, which reports unilateral prevalence. However, in the present study, this index changes, with 50% of unilateral and 50% of bilateral incidence regarding frontal sinus involvement. The average age of the patients was 65.36 years (range: 60-74 years). The etiologic agent was Aspergillus spp., and the endonasal endoscopic therapeutic approach corresponded to 80% of cases, while frontal osteoplasty accounted for 20% of cases, reaffirming the prevalence data from other studies.
Conclusion Despite being a low-incidence entity, frontal sinus fungus ball should be considered in patients with pain in the frontal region refractory to the usual clinical treatments. |
| first_indexed | 2024-04-12T09:15:21Z |
| format | Article |
| id | doaj.art-cdefc3acc4a44e44b8193b611d095ff0 |
| institution | Directory Open Access Journal |
| issn | 1809-9777 1809-4864 |
| language | English |
| last_indexed | 2024-04-12T09:15:21Z |
| publishDate | 2022-10-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | International Archives of Otorhinolaryngology |
| spelling | doaj.art-cdefc3acc4a44e44b8193b611d095ff02022-12-22T03:38:51ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642022-10-012604e738e74310.1055/s-0041-1740598Rare Presentations of Frontal Sinus Fungus Ball: A Systematic ReviewBárbara Okabaiasse Luizeti0Lesley Ane Roks de Lima1Jonas Willian Spies2Guilherme Constante Preis Sella3Department of Medicine, Faculdade de Medicina, Universidade Cesumar, Maringá, Paraná, BrazilDepartment of Medicine, Faculdade de Medicina, Universidade Cesumar, Maringá, Paraná, BrazilDepartment of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Faculdade de Medicina de Ribeirão Preto, Universidade de of São Paulo (FMRP-USP), Ribeirão Preto, São Paulo, BrazilDepartment of Medicine, Faculdade de Medicina, Universidade Cesumar, Maringá, Paraná, BrazilIntroduction The sinus fungus ball is an agglomeration of debris and hyphae, mainly caused by Aspergillus fumigatus, within the paranasal sinus, commonly affecting a single sinus, and it only rarely affects the frontal sinus. Objective To identify the state of the art of fungus ball in paranasal sinuses, especially related to the epidemiology of the disease in the frontal sinus. Additionally, this article reports a rare case of fungus ball in the frontal sinus in an adult male, and discusses the variables of this condition related to the patient. Data Synthesis All of the 8 cases of fungus ball in the frontal sinus reported in this study affected male patients: 40% had unilateral disease, and 60%, bilateral disease, contrary to the incidence data of fungus ball in the other paranasal sinuses, which reports unilateral prevalence. However, in the present study, this index changes, with 50% of unilateral and 50% of bilateral incidence regarding frontal sinus involvement. The average age of the patients was 65.36 years (range: 60-74 years). The etiologic agent was Aspergillus spp., and the endonasal endoscopic therapeutic approach corresponded to 80% of cases, while frontal osteoplasty accounted for 20% of cases, reaffirming the prevalence data from other studies. Conclusion Despite being a low-incidence entity, frontal sinus fungus ball should be considered in patients with pain in the frontal region refractory to the usual clinical treatments.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740598aspergillus fumigatuscommunicable diseasescomplicationstransanal endoscopic surgeryparanasal sinus diseases |
| spellingShingle | Bárbara Okabaiasse Luizeti Lesley Ane Roks de Lima Jonas Willian Spies Guilherme Constante Preis Sella Rare Presentations of Frontal Sinus Fungus Ball: A Systematic Review International Archives of Otorhinolaryngology aspergillus fumigatus communicable diseases complications transanal endoscopic surgery paranasal sinus diseases |
| title | Rare Presentations of Frontal Sinus Fungus Ball: A Systematic Review |
| title_full | Rare Presentations of Frontal Sinus Fungus Ball: A Systematic Review |
| title_fullStr | Rare Presentations of Frontal Sinus Fungus Ball: A Systematic Review |
| title_full_unstemmed | Rare Presentations of Frontal Sinus Fungus Ball: A Systematic Review |
| title_short | Rare Presentations of Frontal Sinus Fungus Ball: A Systematic Review |
| title_sort | rare presentations of frontal sinus fungus ball a systematic review |
| topic | aspergillus fumigatus communicable diseases complications transanal endoscopic surgery paranasal sinus diseases |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1740598 |
| work_keys_str_mv | AT barbaraokabaiasseluizeti rarepresentationsoffrontalsinusfungusballasystematicreview AT lesleyaneroksdelima rarepresentationsoffrontalsinusfungusballasystematicreview AT jonaswillianspies rarepresentationsoffrontalsinusfungusballasystematicreview AT guilhermeconstantepreissella rarepresentationsoffrontalsinusfungusballasystematicreview |