What is the Relationship between the Localization of Maxillary Fungal Balls and Intranasal Anatomic Variations?

Hwang, Se Hwan; Kang, Jun Myung; Cho, Jin Hee; Kim, Byung Guk

doi:10.3342/ceo.2012.5.4.213

Cited by 12 publications

(20 citation statements)

References 20 publications

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“…The present study focused on maxillary sinus fungus ball. Soft tissue volume, which is affected by inflammation, has been suggested as an anatomical factor of the occurrence of fungal ball based on computed tomography (CT) measurements (Hwang et al 2012). However, soft tissue volume increases with inflammation after the occurrence of fungus disease.…”

Section: Introductionmentioning

confidence: 99%

Septal Deviation Is Associated with Maxillary Sinus Fungus Ball in Male Patients

Oshima

Nomura

Sugawara

et al. 2014

Tohoku J. Exp. Med.

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Fungus is one of the causes of chronic rhinosinusitis. If the fungus occupies the sinus but does not invade the sinonasal mucosa, this is called sinus fungus ball. Any association between anatomical variations and fungus ball remains unclear. Sinus fungus ball is defined as non-invasive chronic fungal rhinosinusitis occurring in immunocompetent patients, and the maxillary sinus is the most commonly affected. The etiology of maxillary sinus fungus ball remains unclear. This study assessed the potential contribution of anatomical variations, such as deviated nasal septum, concha bullosa, and Haller cell to the development of fungus ball in the maxillary sinus. Concha bullosa and Haller cell are structural variations that narrow the nasal airflow passage and contribute to chronic rhinosinusitis. The involvement of these variations has been investigated in chronic sinusitis but not in sinus fungus ball. Preoperative computed tomography findings of 103 patients with maxillary sinus fungus ball were evaluated retrospectively. Septal deviation and Haller cell were not correlated with the side of maxillary sinus fungus ball. Concha bullosa was more common on the unaffected side (p = 0.099). When we analyzed males and females separately, maxillary sinus fungus ball was more common on the concave side of the deviated septum in only male patients (p = 0.006). The high incidence of maxillary fungus ball in the concave side may reflect the consequences of the traumatic effects caused by wall shear stress of the high-velocity airflow and the increased chance of inhaling fungus spores.

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Section: Introductionmentioning

confidence: 99%

Septal Deviation Is Associated with Maxillary Sinus Fungus Ball in Male Patients

Oshima

Nomura

Sugawara

et al. 2014

Tohoku J. Exp. Med.

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“…Also, after the extended procedure, with the loop resection of the hypertrophic posterior part of the turbinate, no massive hemorrhage was observed. 34 Other complications of septoplasty, besides hemorrhages, include perforation of the septum, which, according to Erbe et al, occurs in 15% of patients being simultaneously operated on. 8 A hematoma or septal abscess, adhesions between the septal mucosa and turbinates, deterioration in the sense of smell, or leakage of cerebrospinal fluid are rarely observed.…”

Section: Discussionmentioning

confidence: 99%

Technical aspects of nasal cavity surgery through the Le Fort I down-fracture approach: An otolaryngologist’s point of view based on 90 patients’ experience

Morawska-Kochman¹,

Nelke²,

Nienartowicz³

et al. 2019

Adv Clin Exp Med

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Background. The downfracture access to septo-and turbinoplasty during maxillary osteotomy may be recommended in many cases. One or both of these laryngological interventions may be necessary when, after the patient's clinical evaluation, either an impaired function of nasal breathing or a deviated septum are present. The main postsurgical risk of the procedure is the destabilization of the cartilaginous septum position and its relation to adjacent anatomical structures, a change in the shape of the nose and the presence of a supratip break. Objectives. In this paper, the authors present their own experience in intranasal procedures, the relevant surgical techniques and possible complications, based on their own clinical findings and on a literature review. Material and methods. The general aim of the study was to describe the key points and differences between septo-and turbinoplasty performed classically and during Le Fort I osteotomy based on 90 orthognathic surgery patient cases. The procedures have been evaluated and compared regarding their advantages and disadvantages. Results. Intraoperative downfracture of the maxilla facilitates the performance of various subsequent procedures in the regions of the nasal cavities and sinuses. Due to a very convenient access to the nasal cavities, it is possible to perform septo-or turbinoplasty in patients with nasal airway breathing problems, a deviated septum, and in others. Conclusions. A combined effort of an otolaryngologist and a maxillofacial team improves the overall nasal breathing with a limited amount of complications. Endoscopy with low-dose computed tomography (CT) is a valuable diagnostic tool for measuring any breathing improvements in nasal capacity. Objective patient nasal breathing problems should be always investigated.

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“…It mostly involves the maxillary sinus (MS) . Aetiology of this disease remains unclear . Fungal growth could be promoted by local host conditions and, possibly, by host anatomy .…”

mentioning

confidence: 99%

“…Aetiology of this disease remains unclear . Fungal growth could be promoted by local host conditions and, possibly, by host anatomy . Many hypotheses have been reported to explain the development of fungal balls.…”

mentioning

confidence: 99%

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Maxillary sinus volume: new physiopathological data in fungal ball genesis? A retrospective study

Michel

Radulesco

Mancini

et al. 2017

Clinical Otolaryngology

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What is the Relationship between the Localization of Maxillary Fungal Balls and Intranasal Anatomic Variations?

Cited by 12 publications

References 20 publications

Septal Deviation Is Associated with Maxillary Sinus Fungus Ball in Male Patients

Septal Deviation Is Associated with Maxillary Sinus Fungus Ball in Male Patients

Technical aspects of nasal cavity surgery through the Le Fort I down-fracture approach: An otolaryngologist’s point of view based on 90 patients’ experience

Maxillary sinus volume: new physiopathological data in fungal ball genesis? A retrospective study

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