A retrospective study was carried out on data from a review of the records of 66 patients operated on by the same surgeon, from 2006 to 2014, at the Otorhinolaryngoiatric Unit of the "Centre Hospitalier des Escartons" of Brianfon, France, with antrostomy for unilateral maxillary sinusitis and suspicion of a fungus ball
. Inclusion criteria were patients who had been given a definitive anatomopathological and/or histological diagnosis of fungus ball
of maxillary sinus, patients without conditions at diagnosis that could affect the development of sinonasal fungal disease (such as immunodeficiency, allergy, or previous endoscopic nasal surgery), and patients who had been operated on by the same chosen surgeon.
Nephrostomy also provides access to percutaneously remove the fungus ball
and manually drain it via ureteroscopy .
Aspergilloma is a fungus ball
that grows in a preexisting cavity and does not invade lung tissues.
formation in the bladder is a rare complication of a fungal urinary tract infection.
The location of the fungus ball
inside the urinary tract may also have been a contributing factor.
We retrospectively reviewed the clinical records of patients diagnosed with sinus fungus ball
who underwent surgery at the Department of Otorhinolaryngology, Jikei University Hospital, Tokyo, Japan, between April 2005 and November 2010.
In the patients with zygomycetes identified in fungus balls
, the hyphae had a compressed distorted appearance.
RESULTS: MACROSCOPIC FEATURES OF FUNGUS BALL
: With regards to physical appearance, the fungus ball
appeared as a greenish cheese like substance in 11(55%), as a brownish substance in 6(30%), as a darkish substance in 2(10%) and accompanied by calcification in 1 case (5%).
The mucosa surrounding the fungus ball
in our patient was sent for histopathologic evaluation.
Chronic IFS is characterized by a dense accumulation of hyphae that resembles a fungus ball
, vascular invasion by fungal elements, and a scarcity of chronic inflammatory infiltrates.
This characteristic pattern is known in various mycetoma locations as paranasal fungus balls
(7) or maduromycosis, for which the T2-weighted imaging dot-in-circle sign is specific (8).
This guide outlines the management of sinonasal complications of dental disease and treatment, from fungus balls
and oroantral fistulae to peri-implant osteitis with sinusitis and failed maxillary sinus augmentation procedures.