Clinical Characteristics of Sphenoid Sinus Fungus Ball: A Nine‐year Retrospective Study of 77 Cases

Jiang, Tianjiao; Zhang, Qian; Li, Chunhao; Li, Tong; Sun, Shujuan; Chen, Aiping; Ji, Hongzhi; Wan, Yuzhu; Shi, Li; Yu, Liang

doi:10.1002/lary.30683

Cited by 6 publications

(2 citation statements)

References 37 publications

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“…Fungal balls are more common in females than in males and in those in their fifties [6,21,22]. Although a consensus on the explanation for this phenomenon is lacking, the longer life expectancy and the effect of menopause in females have been proposed as possible causes [21,23]. Our previous study observed that the femaleto-male ratio was highest at 51-60 years of age (2.02).…”

Section: Discussionmentioning

confidence: 92%

Identifying the Risk Factors for Orbital Complications in Isolated Sphenoid Rhinosinusitis

Chang,

Huang,

Fan

et al. 2024

Medicina

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Background and Objectives: Isolated sphenoid rhinosinusitis may have devastating consequences such as orbital complications due to its anatomical contiguity with vital structures. This study aimed to identify patients with isolated sphenoid inflammatory diseases at high risk for developing orbital complications and requiring aggressive management through investigation of the clinical and computed tomography (CT) characteristics of patients with isolated sphenoid rhinosinusitis. Materials and Methods: The medical records of patients who underwent endoscopic sinus surgery between 2005 and 2022 were retrospectively reviewed. Patients with isolated sphenoid rhinosinusitis were identified based on a manual review of the clinical and histopathological findings. Participants’ clinical and CT features were reviewed. Results: Among the 118 patients with isolated sphenoid rhinosinusitis, 15 (12.7%) developed orbital complications, including diplopia, extraocular motility limitation, ptosis, and visual impairment. Headaches and facial pain occurred significantly more frequently in patients with orbital complications than in those without orbital complications (p < 0.001). Patients with diabetes mellitus or malignant neoplasms were more likely to develop orbital complications than those without these comorbidities (p < 0.05). Bony dehiscence on CT images was significantly more common in patients with orbital complications than in those without. In the regression analysis, diabetes mellitus (OR, 4.62), malignant neoplasm (OR, 4.32), and bony dehiscence (OR, 4.87) were significant predictors of orbital complications (p < 0.05). Conclusions: Headaches and facial pain are the most common symptoms of isolated sphenoid rhinosinusitis. Orbital complications of isolated sphenoid rhinosinusitis are more common in patients with comorbidities such as diabetes mellitus or malignancy or in those with bony dehiscence on CT images.

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Section: Discussionmentioning

confidence: 92%

Identifying the Risk Factors for Orbital Complications in Isolated Sphenoid Rhinosinusitis

Chang,

Huang,

Fan

et al. 2024

Medicina

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“…They also reported that plasma glucose level, HbA1C, and duration of diabetes were insignificantly predictors for fungal sinusitis. Moreover, Jiang et al [14] demonstrated sinus fungus patients had a higher prevalence of diabetes.…”

Section: Fig (1): Vitamin D Of the Studied Patientsmentioning

confidence: 99%

Study Of Risk Factors Associated With Allergic Fungal Sinusitis Patients: A Case-Control Study

2023

The Egyptian Journal of Hospital Medicine

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Background: A non-invasive sinusitis that often affects young persons is allergic fungal sinusitis.Objective: This study aimed to explain the potential risk factors that may affect patients suffering from nasal polyps with allergic fungal sinusitis (AFS)local anatomical variants or general illnesses. Patients and methods: This case-control study was carried out on 160 patients (80 patients with allergic nasal polyposis with fungal sinusitis and 80 cases with nasal polyp without superimposed fungal infection). The study was performed at the

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Sphenoid Sinus Fungal Ball and Reestablishing Sinus Function

Meerwein,

Seresirikachorn,

Lindsay

et al. 2024

The Laryngoscope

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ObjectivesThe aim was to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction.MethodsA within‐patient case–control analysis was performed on sphenoid sinus dimensions from patients with sphenoid sinus fungal ball (SSFB). Radiological dimensions were assessed to determine the dominant or larger sinus by volume and width. Pneumatization in the sagittal and lateral extent was assessed. The influence of sinus size and pneumatization variants within a patient was analyzed. Patency and the presence of mucostasis from radical reshaping of the sinus cavity were documented at least 3 months after surgery. Complications (bleeding, cerebrospinal fluid leak, and cranial nerve palsy) were recorded.ResultsTwenty‐three patients (59 ± 19 years, 86% female, 46 sphenoid sinuses) were assessed. Fungal ball was more common in the smaller (non‐dominant) sinus, by width (78% vs. 22%, p < 0.01) and by proportion of total sphenoid volume (0.39 ± 0.16 vs. 0.61 ± 0.16, p < 0.01). Pneumatization variants did not influence the development of SSFB within a patient. All patients had patency and the absence of mucostasis or persistent inflammation at last follow‐up. No complications were reported.ConclusionThe smaller or nondominant sphenoid sinus is more affected by SSFB. Surgical reshaping of the sphenoid to prevent mucostasis is favorable in managing the smaller affected sinus cavity.Level of Evidence4 Laryngoscope, 2024

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Clinical Characteristics of Sphenoid Sinus Fungus Ball: A Nine‐year Retrospective Study of 77 Cases

Cited by 6 publications

References 37 publications

Identifying the Risk Factors for Orbital Complications in Isolated Sphenoid Rhinosinusitis

Identifying the Risk Factors for Orbital Complications in Isolated Sphenoid Rhinosinusitis

Study Of Risk Factors Associated With Allergic Fungal Sinusitis Patients: A Case-Control Study

Sphenoid Sinus Fungal Ball and Reestablishing Sinus Function

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