Surgical treatment of Aspergillus mycetomas of the maxillary sinus: Review of the literature

Association between maxillary sinus fungus ball and sinus bone grafting with deproteinized bovine bone substitutes: a case-control study

“…[1][2][3] The odontogenic theory is mainly explained by three interdependent factors related to the use of endodontic sealers containing zinc oxide. [1][2][3][4][5][6] The first factor is the creation of an oroantral communication, which acts as a route for the maxillary sinus contamination with the Aspergillus species. The second factor is the impairment of the normal ventilation and drainage clearance system, which is caused by the physical excess of the sealers within the sinus.…”

“…The second factor is the impairment of the normal ventilation and drainage clearance system, which is caused by the physical excess of the sealers within the sinus. [1][2][3][4][5][6] And the third factor is Aspergillus overgrowth, which is chemically elicited by the zinc itself. The explanation of the underlying mechanism leading to the development of FB related to Bio-Oss, as found in our study, can be only speculative and extrapolated by analogy to what has been previously mentioned for zinc oxide.…”

“…[1][2][3] Aspergillus fumigatus is, by far, the most frequent causative agent found in Europe, and the root canal overfilling with the passage of zinc oxide endodontic sealers into the maxillary sinus is the most commonly recognized risk factor for the development of FB in up to 84% of patients. [1][2][3][4][5][6] Although this form of sinusitis typically affects healthy adults and has a striking female predominance, several pathologic conditions, such as diabetes, immunodeficiency diseases, and immunosuppressive and chronic corticosteroid and antibiotic treatments have been pointed out as potential predisposing factors favoring the colonization and subsequent overgrowth of the fungal hyphae. [1][2][3] Since its first report in 1980 by Boyne and James, grafting of the maxillary sinus floor has rapidly become the most common surgical procedure used to increase the subantral alveolar bone height of the posterior maxilla for subsequent dental implant placement.…”

Facial Translocation Approach for Management of Invasive Sinonasal Aspergillosis

“…The debulking of the fungal lesion also improves response of medical treatment [2]. Various surgical approaches most commonly used in literature include Caldwell Luc procedure and Endoscopic Sinus Surgeries [9]. In this report, we suggest a facial translocation approach for improved access.…”

The Imaging Appearance of Sinus Mycetoma: A Case Series

“…The growing number of mycotic infections in nasal and paranasal cavities is mostly due to the fact that the diagnostic methods currently exist, especially when it comes to new diagnostic techniques using imagery, such as computerized tomography and magnetic resonance, but also because the population increasingly lives in conditions that favor the spread of fungi, such as longer life expectancy and general chronic diseases that have a major impact on the immune system, such as diabetes mellitus, or which require the prolonged use of medication to be treated, such as antibiotics and corticoids, radiotherapy, immunosuppressive treatments, and diseases that depress the immune system (De Foer et al, 1990;Costa et al, 2007) The paranasal sinuses are the ideal environments for the development of fungi, with a lack of light but with a wide range of nutrients available (Mensi et al, 2004;Matjaz et al, 2004). Sinus mycetoma is an accumulation of hyphae that form a rounded mass known as a fungal ball in the international literature and in the majority of cases it involves colonization by Aspergillus spp.…”