Araştırma Makalesi
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Paranazal sinüs mantar topu: Klinik özellikler ve cerrahi sonuçlar

Yıl 2015, Cilt: 5 Sayı: 3, 124 - 127, 14.01.2016

Öz

Amaç: Bu çalışmanın amacı paranazal mantar topunun klinik, radyografik ve cerrahi sonuçlarını analiz etmektir.

Yöntem: 2005 Aralık – 2014 Kasım tarihleri arasında paranazal mantar topu için endoskopik sinüs cerrahisi geçiren 16 hastanın verileri geriye dönük incelendi. Hastanın demografik verileri, klinik sunumları, radyolojik bulguları ve cerrahi sonuçları analiz edildi.

Bulgular: Çalışmaya yaş ortalaması 53.6 (aralık: 32–74) yıl olan 10 (62.5%) kadın ve 6 (37.5%) erkek hasta katılmıştır. En sık görülen semptomlar baş ve yüz ağrısı idi. Bilgisayarlı tomografi 12 (75%) hastada hiperdens bir alan ve 13 (81.3%) hastada sinüsün kemik yapıdaki duvarları nda skleroz olduğunu göstermiştir. Manyetik rezonans görüntüleme olguların tümünde (100%) T2-ağırlıklı görüntüleme, belirgin derecede düşük bir dansitenin var olduğunu ortaya koymuştur. Hastaların hepsi işlevsel endoskopik sinüs cerrahisiyle tedavi edilmiştir. Yalnızca bir hastada postoperatif dönemde nüks olmuştur.

Sonuç: Her olguda etkilenmiş sinüs ağzının cerrahi yolla açılması ve fungal yoğunluğun ortadan kaldırılması tercih edilen tedavi şekli olmuştur.

Anahtar sözcükler: Paranazal mantar topu, misetom, cerrahi.

Kaynakça

  • Chakrabarti A, Denning DW, Ferguson BJ, et al. Fungal rhinosi- nusitis: a categorization and definitional schema addressing cur- rent controversies. Laryngoscope 2009;119:1809–18.
  • Grosjean P, Weber R. Fungus balls of the paranasal sinuses: a review. Eur Arch Otorhinolaryngol 2007;264:461–70.
  • Nicolai P, Lombardi D, Tomenzoli D, et al. Fungus ball of the paranasal sinuses: experience in 160 patients treated with endo- scopic surgery. Laryngoscope 2009;119:2275–9.
  • Dufour X, Kauffmann-Lacroix C, Ferrie JC, Goujon JM, Rodier MH, Klossek JM. Paranasal sinus fungus ball: epidemiology, clin- ical features and diagnosis. A retrospective analysis of 173 cases from a single medical center in France, 1989–2002. Med Mycol 2006;44:61–7.
  • Lai JC, Lee HS, Chen MK, Tsai YL. Patient satisfaction and treatment outcome of fungus ball rhinosinusitis treated by func- tional endoscopic sinus surgery. Eur Arch Otorhinolaryngol 2011;268:227–30.
  • Chen JC, Ho CY. The significance of computed tomographic findings in the diagnosis of fungus ball in the paranasal sinuses. Am J Rhinol Allergy 2012;26:117–9.
  • Bowman J, Panizza B, Gandhi M. Sphenoid sinus fungal balls. Ann Otol Rhinol Laryngol 2007;116:514–9.
  • Robey AB, O'Brien EK, Richardson BE, Baker JJ, Poage DP, Leopold DA. The changing face of paranasal sinus fungus balls. Ann Otol Rhinol Laryngol 2009;118:500–5.
  • Kim TH, Na KJ, Seok JH, Heo SJ, Park JH, Kim JS. A retrospec- tive analysis of 29 isolated sphenoid fungus ball cases from a med- ical centre in Korea (1999–2012). Rhinology 2013;51:280–6.
  • Eloy P, Grenier J, Pirlet A, Poirrier AL, Stephens JS, Rombaux P. Sphenoid sinus fungal ball: a retrospective study over a 10-year period. Rhinology 2013;51:181–8.
  • Seo YJ, Kim J, Kim K, Lee JG, Kim CH, Yoon JH. Radiologic characteristics of sinonasal fungus ball: an analysis of 119 cases. Acta Radiol 2011;52:790–5.
  • Dufour X, Kauffmann-Lacroix C, Ferrie JC, et al. Paranasal sinus fungus ball and surgery: a review of 175 cases. Rhinology 2005;43:34–9.
  • Grosjean P, Weber R. Fungus balls of the paranasal sinuses: a review. Eur Arch Otorhinolaryngol 2007;264:461–70.
  • Socher JA, Cassano M, Filheiro CA, Cassano P, Felippu A. Diagnosis and treatment of isolated sphenoid sinus disease: a review of 109 cases. Acta Otolaryngol 2008;128:1004–10.
  • Pagella F, Matti E, De Bernardi F, et al. Paranasal sinus fungus ball: diagnosis and management. Mycoses 2007;50:451–6.
  • Lee TJ, Huang SF, Chang PH. Characteristics of isolated sphe- noid sinus aspergilloma: report of twelve cases and literature review. Ann Otol Rhinol Laryngol 2009;118:211–7.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND3.0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Pınar E, İmre A, Ece AA, Aladağ İ, Aslan H, Özkul Y, Dinçer E. Paranasal sinus fungus ball: analysis of clinical characteristics
  • and surgical outcomes. ENT Updates 2015;5(3):124–127.

Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes

Yıl 2015, Cilt: 5 Sayı: 3, 124 - 127, 14.01.2016

Öz

Objective: The aim of the present study was to analyse the clinical,

radiographic, and surgical outcomes of paranasal fungus ball.

Methods: A retrospective data analysis was performed on 16 patients

who underwent endoscopic sinus surgery for paranasal sinus fungus

ball between December 2005 and November 2014. The patient’s

demographic data, clinical presentations, radiological findings and

surgical outcomes were analysed.

Results: There were 10 female (62.5%) and six male (37.5%) patients

with a mean age of 53.6 (range: 32 to 74) years. Most common symptoms were headache and facial pain. Computed tomography showed a

hyper-dense area in 12 patients (75%) and sclerosis in bony walls of the

sinus in 13 patients (81.3%). Magnetic resonance imaging revealed a

marked low intensity on T2 weighted images in all cases (100%). All

patients were treated with functional endoscopic sinus surgery. Only

one patient had a recurrence in the postoperative period.

Conclusion: The surgical opening of affected sinus ostium and

removal of the fungal concentration were the treatment of choice in

all cases. 

Kaynakça

  • Chakrabarti A, Denning DW, Ferguson BJ, et al. Fungal rhinosi- nusitis: a categorization and definitional schema addressing cur- rent controversies. Laryngoscope 2009;119:1809–18.
  • Grosjean P, Weber R. Fungus balls of the paranasal sinuses: a review. Eur Arch Otorhinolaryngol 2007;264:461–70.
  • Nicolai P, Lombardi D, Tomenzoli D, et al. Fungus ball of the paranasal sinuses: experience in 160 patients treated with endo- scopic surgery. Laryngoscope 2009;119:2275–9.
  • Dufour X, Kauffmann-Lacroix C, Ferrie JC, Goujon JM, Rodier MH, Klossek JM. Paranasal sinus fungus ball: epidemiology, clin- ical features and diagnosis. A retrospective analysis of 173 cases from a single medical center in France, 1989–2002. Med Mycol 2006;44:61–7.
  • Lai JC, Lee HS, Chen MK, Tsai YL. Patient satisfaction and treatment outcome of fungus ball rhinosinusitis treated by func- tional endoscopic sinus surgery. Eur Arch Otorhinolaryngol 2011;268:227–30.
  • Chen JC, Ho CY. The significance of computed tomographic findings in the diagnosis of fungus ball in the paranasal sinuses. Am J Rhinol Allergy 2012;26:117–9.
  • Bowman J, Panizza B, Gandhi M. Sphenoid sinus fungal balls. Ann Otol Rhinol Laryngol 2007;116:514–9.
  • Robey AB, O'Brien EK, Richardson BE, Baker JJ, Poage DP, Leopold DA. The changing face of paranasal sinus fungus balls. Ann Otol Rhinol Laryngol 2009;118:500–5.
  • Kim TH, Na KJ, Seok JH, Heo SJ, Park JH, Kim JS. A retrospec- tive analysis of 29 isolated sphenoid fungus ball cases from a med- ical centre in Korea (1999–2012). Rhinology 2013;51:280–6.
  • Eloy P, Grenier J, Pirlet A, Poirrier AL, Stephens JS, Rombaux P. Sphenoid sinus fungal ball: a retrospective study over a 10-year period. Rhinology 2013;51:181–8.
  • Seo YJ, Kim J, Kim K, Lee JG, Kim CH, Yoon JH. Radiologic characteristics of sinonasal fungus ball: an analysis of 119 cases. Acta Radiol 2011;52:790–5.
  • Dufour X, Kauffmann-Lacroix C, Ferrie JC, et al. Paranasal sinus fungus ball and surgery: a review of 175 cases. Rhinology 2005;43:34–9.
  • Grosjean P, Weber R. Fungus balls of the paranasal sinuses: a review. Eur Arch Otorhinolaryngol 2007;264:461–70.
  • Socher JA, Cassano M, Filheiro CA, Cassano P, Felippu A. Diagnosis and treatment of isolated sphenoid sinus disease: a review of 109 cases. Acta Otolaryngol 2008;128:1004–10.
  • Pagella F, Matti E, De Bernardi F, et al. Paranasal sinus fungus ball: diagnosis and management. Mycoses 2007;50:451–6.
  • Lee TJ, Huang SF, Chang PH. Characteristics of isolated sphe- noid sinus aspergilloma: report of twelve cases and literature review. Ann Otol Rhinol Laryngol 2009;118:211–7.
  • This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
  • NC-ND3.0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
  • tion in any medium, provided the original work is properly cited.
  • Please cite this article as: Pınar E, İmre A, Ece AA, Aladağ İ, Aslan H, Özkul Y, Dinçer E. Paranasal sinus fungus ball: analysis of clinical characteristics
  • and surgical outcomes. ENT Updates 2015;5(3):124–127.
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Ercan Pınar Bu kişi benim

Abdulkadir Emre Bu kişi benim

Ahmet Ata Ece Bu kişi benim

İbrahim Aladağ Bu kişi benim

Hale Aslan Bu kişi benim

Yılmaz Özkul Bu kişi benim

Elif Dinçer Bu kişi benim

Yayımlanma Tarihi 14 Ocak 2016
Gönderilme Tarihi 14 Ocak 2016
Yayımlandığı Sayı Yıl 2015 Cilt: 5 Sayı: 3

Kaynak Göster

APA Pınar, E., Emre, A., Ece, A. A., Aladağ, İ., vd. (2016). Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes. ENT Updates, 5(3), 124-127.
AMA Pınar E, Emre A, Ece AA, Aladağ İ, Aslan H, Özkul Y, Dinçer E. Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes. ENT Updates. Ocak 2016;5(3):124-127.
Chicago Pınar, Ercan, Abdulkadir Emre, Ahmet Ata Ece, İbrahim Aladağ, Hale Aslan, Yılmaz Özkul, ve Elif Dinçer. “Paranasal Sinus Fungus Ball: Analysis of Clinical Characteristics and Surgical Outcomes”. ENT Updates 5, sy. 3 (Ocak 2016): 124-27.
EndNote Pınar E, Emre A, Ece AA, Aladağ İ, Aslan H, Özkul Y, Dinçer E (01 Ocak 2016) Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes. ENT Updates 5 3 124–127.
IEEE E. Pınar, A. Emre, A. A. Ece, İ. Aladağ, H. Aslan, Y. Özkul, ve E. Dinçer, “Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes”, ENT Updates, c. 5, sy. 3, ss. 124–127, 2016.
ISNAD Pınar, Ercan vd. “Paranasal Sinus Fungus Ball: Analysis of Clinical Characteristics and Surgical Outcomes”. ENT Updates 5/3 (Ocak 2016), 124-127.
JAMA Pınar E, Emre A, Ece AA, Aladağ İ, Aslan H, Özkul Y, Dinçer E. Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes. ENT Updates. 2016;5:124–127.
MLA Pınar, Ercan vd. “Paranasal Sinus Fungus Ball: Analysis of Clinical Characteristics and Surgical Outcomes”. ENT Updates, c. 5, sy. 3, 2016, ss. 124-7.
Vancouver Pınar E, Emre A, Ece AA, Aladağ İ, Aslan H, Özkul Y, Dinçer E. Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes. ENT Updates. 2016;5(3):124-7.