Hostname: page-component-6766d58669-kl59c Total loading time: 0 Render date: 2026-05-20T00:04:03.376Z Has data issue: false hasContentIssue false
  • English
  • Français

Endonasal endoscopic surgery with combined middle and inferior meatal antrostomies for fungal maxillary sinusitis

Published online by Cambridge University Press:  23 February 2015

M Sawatsubashi ,
D Murakami ,
T Umezaki  and
S Komune
M Sawatsubashi*
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
D Murakami
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
T Umezaki
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
S Komune
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
*
Address for correspondence: Motohiro Sawatsubashi, Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka 812-8582, Japan Fax:+81 92 642 5685 E-mail: motohiro@qent.med.kyushu-u.ac.jp
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The purpose of this study was to evaluate the effectiveness of the combination of inferior and middle meatal antrostomies for treatment of a maxillary sinus fungus ball by functional endoscopic sinus surgery.

Methods:

A retrospective analysis including 28 patients with non-invasive fungal maxillary sinusitis was performed. Fourteen patients underwent FESS with both middle and inferior meatal antrostomies (combined group). The remaining 14 patients were treated with FESS through only the middle meatal antrostomy (control group).

Results:

Post-operative computed tomography showed normal maxillary sinuses in all patients in the combined group. In contrast, in the control group, five patients (36 per cent) exhibited a normal maxillary sinus, seven (50 per cent) showed maxillary mucosal thickening and two (14 per cent) had persistent fungus balls in the maxillary sinus.

Conclusion:

FESS with a combination of middle and inferior meatal antrostomies proved more effective for treating fungal maxillary sinusitis.

Keywords

FungusEndoscopic Surgical ProcedureNasal CavityComputed TomogrphyMaxillary Sinusitis

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue S2 , March 2015 , pp. S52 - S55
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

This study was partly presented at the 50th Annual Meeting of the Japan Rhinologic Society, 2 December 2011, Okayama, Japan.

References

1Thompson, GR III, Patterson, TF. Fungal disease of the nose and paranasal sinuses. J Allergy Clin Immunol 2012;129:321–6Google Scholar
2Chakrabarti, A, Denning, DW, Ferguson, BJ, Ponikau, J, Buzina, W, Kita, H et al. Fungal rhinosinusitis: a categorization and definitional schema addressing current controversies. Laryngoscope 2009;119:1809–18CrossRefGoogle ScholarPubMed
3Grosjean, P, Weber, R. Fungus balls of the paranasal sinuses: a review. Eur Arch Otorhinolaryngol 2007;264:461–70CrossRefGoogle ScholarPubMed
4Dufour, X, Kauffmann-Lacroix, C, Ferrie, JC, Goujon, JM, Rodier, MH, Klossek, JM. Paranasal sinus fungus ball: epidemiology, clinical features and diagnosis. A retrospective analysis of 173 cases from a single medical center in France, 1989–2002. Med Mycol 2006;44:61–7CrossRefGoogle ScholarPubMed
5Nicolai, P, Lombardi, D, Tomenzoli, D, Villaret, AB, Piccioni, M, Mensi, M et al. Fungus ball of the paranasal sinuses: experience in 160 patients treated with endoscopic surgery. Laryngoscope 2009;119:2275–9Google Scholar
6Lai, JC, Lee, HS, Chen, MK, Tsai, YL. Patient satisfaction and treatment outcome of fungus ball rhinosinusitis treated by functional endoscopic sinus surgery. Eur Arch Otorhinolaryngol 2011;268:227–30Google Scholar
7Kennedy, DW, Adappa, ND. Endoscopic maxillary antrostomy: not just a simple procedure. Laryngoscope 2011;121:2142–5CrossRefGoogle ScholarPubMed
8Kennedy, DW, Zinreich, SJ, Shaalan, H, Kuhn, F, Naclerio, R, Loch, El. Endoscopic middle meatal antrostomy: theory, technique, and patency. Laryngoscope 1987;97:1–9CrossRefGoogle ScholarPubMed
9Hinohira, Y, Hyodo, M, Gyo, K. Submucous inferior turbinotomy cooperating with combined antrostomies for endonasal eradication of severe and intractable sinusitis. Auris Nasus Larynx 2009;36:162–7Google Scholar
10Ochi, K, Sugiura, N, Komatsuzaki, Y, Nishino, H, Ohashi, T. Patency of inferior meatal antrostomy. Auris Nasus Larynx 2003;30:S57–60Google Scholar
11deShazo, RD, O'Brien, M, Chapin, K, Soto-Aguilar, M, Swain, R, Lyons, M et al. Criteria for the diagnosis of sinus mycetoma. J Allergy Clin Immunol 1997;99:475–85Google Scholar
12Chao, TK, Liu, CM. Gauze-assisted technique in endoscopic removal of fungus balls of the maxillary sinus. Am J Rhinol 2006;20:417–20CrossRefGoogle ScholarPubMed
13Klossek, JM, Serrano, E, Péloquin, L, Percodani, J, Fontanel, JP, Pessey, JJ. Functional endoscopic sinus surgery and 109 mycetomas of paranasal sinuses. Laryngoscope 1997;107:112–7Google Scholar
14Dufour, X, Kauffmann-Lacroix, C, Ferrie, JC, Goujon, JM, Rodier, MH, Karkas, A et al. Paranasal sinus fungus ball and surgery: a review of 175 cases. Rhinology 2005;43:34–9Google Scholar