Abstract:
:A fungal ball consists of a dense conglomerate of fungal hyphae growing at the surface of the sinus mucosa without tissue infiltration. The maxillary sinus is by far the most commonly involved paranasal sinus cavity followed by the sphenoid sinus. The present study is a retrospective study of 25 consecutive cases treated during the last 10 years in the two hospitals be- longing to the Catholic University of Louvain (CHU Mont-Godinne and UCL Saint Luc). We report the symptomatology, the imaging and discuss the different surgical managements. We conclude that the clinician must have a high index of suspicion when dealing with a unilateral rhinosinusitis persisting despite a maximal and well conducted medical treatment. This is particularly so in elderly women when associated with facial pain and post nasal drip, particularly when the computed tomography shows an unilateral opacity of the sphenoid sinus with or without a sclerosis or an erosion of the bony walls, a polyp in the sphenoethmoidal recess or a hyperdensity mimicking a foreign body. An endonasal endoscopic sphenoidotomy is the treatment of choice in most cases, allowing good ventilation of the sinus and radical removal of all the fungal concretion. A biopsy of the sinus mucosa adjacent to fungal elements is of upmost important to confirm the non- invasiveness of the fungi within the tissue. Antifungal medication is not required in uncomplicated forms. All host factors producing some degree of immunosuppression must be corrected when present and must alert the clinician to rule out any forms of invasive disease.
journal_name
Rhinologyjournal_title
Rhinologyauthors
Eloy P,Grenier J,Pirlet A,Poirrier AL,Stephens JS,Rombaux Pdoi
10.4193/Rhino12.114subject
Has Abstractpub_date
2013-06-01 00:00:00pages
181-8issue
2eissn
0300-0729issn
1996-8604pii
1143journal_volume
51pub_type
杂志文章,多中心研究相关文献
RHINOLOGY文献大全abstract::Experiments in growing rabbits showed the great importance of the nasal septum for the postnatal growth of the facial skeleton. The influence of surgical procedures on the morphogenetic function of the nasal septum was investigated. The effects of unilateral and bilateral elevation of the mucoperichondrium and of subm...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1979-06-01 00:00:00
abstract:AIM:Evaluation of the side-effects of conventional subcutaneous allergen immunotherapy in inhalant allergy. MATERIAL AND METHODS:Retrospective analysis of early and late, local and systemic, short-term and long-term side-effects of 4723 injections given to 224 patients suffering from intermittent or persistent allergi...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:Cerebrospinal fluid (CSF) leaks and meningoencephaloceles of the lateral recess of sphenoid sinuses are rare findings. A congenital bony defect in the lateral wall of sphenoid sinus called Sternberg's canal could be the origin of these lesions. Their endoscopic transnasal management is challenging though les...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin08.236
更新日期:2009-12-01 00:00:00
abstract::On March 11th 2020, the World Health Organization (WHO) declared COVID-19 pandemic, with subsequent profound impact on the entire health care system. During the COVID-19 outbreak, activities in the rhinology outpatient clinic and operation rooms are limited to emergency care only. Health care practitioners are faced w...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin20.119
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Staphylococcus aureus is a frequently implicated pathogen in chronic rhinosinusitis (CRS). S. aureus may promote commensalism by downregulating pro-inflammatory T cell host responses via an IL-10 mediated pathway. This finding, coupled with the observation that S. aureus and CD8+ T cell numbers are inversely...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin16.199
更新日期:2017-09-01 00:00:00
abstract::Non-specific biopsy results such as chronic inflammation, hemorrhage, necrosis can be frustrating to the clinician. This is especially true if the patient presents with clinical features suggestive of an aggressive tumour. This is a review of the clinical features, diagnostic dilemmas and surgical management of a beni...
journal_title:Rhinology
pub_type: 杂志文章,评审
doi:10.4193/Rhin09.046
更新日期:2010-06-01 00:00:00
abstract::Endonasal sinus surgery aims at the preservation of a lining mucosa in the reventilated and redrained cavities. It can, therefore, be confined to the removal of narrowing bone at the "isthmus" of the ducts or windows. Transnasal ethmoidectomy for diffuse polyposis consists of the removal of the ethmoidal cell septa, i...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1981-03-01 00:00:00
abstract::Postnasal drip (PND), commonly regarded as a phenomenon wherein nasal fluid drips into the pharynx, is one of the main symptoms of chronic sinusitis and other nasal lesions. This definition is controversial, however, because some patients have PND with no evidence of fluid either in the oropharynx or around the choana...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract::Endothelin (ET) is a newly described peptide that was isolated from the supernatant of cultured porcine aortic endothelial cells. Among the three isoforms of ET, the originally discovered ET-1 is the only one that exists in vascular endothelium. It is reported to be an extremely potent vasoconstrictor in a variety of ...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract:BACKGROUND:Allergic rhinitis (AR) is a highly prevalent disease worldwide. Although a number of studies have described AR, no studies compared children and adult AR populations. The objective was to compare the AR characteristics between two AR cohorts of children and adults. METHODS:Two AR cohorts (children and adult...
journal_title:Rhinology
pub_type: 杂志文章,多中心研究
doi:10.4193/Rhin17.074
更新日期:2017-12-01 00:00:00
abstract::In different forms of rhinitis a recumbent position aggravates nasal congestion. An earlier study has shown how a recumbent position strongly reduces the effect of oral decongestants. Now the effect of a local decongestant, oxymetazolinchlorid, in acute rhinitis as related to body position has been studied by means of...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1983-06-01 00:00:00
abstract::During 4 weeks of the grass pollen season in the south of Sweden 27 patients with seasonal allergic rhinitis were treated topically with a beta-adrenoceptor stimulant, KWD 2131, which in an earlier rhinomanometric study had shown a prophylactic effect at nasal allergen provocations in hay-fever patients. A clinical ef...
journal_title:Rhinology
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1982-09-01 00:00:00
abstract::The penicillin concentration in the nasopharyngeal secretion after penicillin administration was studied in 33 patients undergoing tonsillectomy. Benzylpenicillin was either administrated by the intravenous or the intramuscular route in doses of 0.6-1.2 g. Phenoxymethylpenicillin was given perorally in doses of 0.5-1....
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1983-06-01 00:00:00
abstract::Recently endonasal surgery has been considered to be a valuable contribution in the management of paranasal sinus osteoma. A retrospective evaluation study of 34 frontoethmoidal osteomas (23 frontal and 11 ethmoidal osteomas) treated at a tertiary care facility from 1990 to 1999 is presented. Twenty three osteomas (68...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:Throat packs are placed around the airway in patients undergoing upper airway surgical procedures under general anaesthetic to prevent aspiration or ingestion of blood, and consequent chest infections or postoperative nausea and vomiting (PONV). There is no definitive evidence for this, and each time a pack ...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin19.308
更新日期:2020-08-01 00:00:00
abstract:STATEMENT OF THE PROBLEM:Allergic rhinitis is a global public health issue. Peak nasal inspiratory flow (PNIF) can help in the assessment of patients with allergic rhinitis. However, reference values in the literature for PNIF in school children and adolescents are limited. THE AIM OF THIS STUDY was to identify referen...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhino10.266
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Different from rhinoliths, the paranasal gossypiboma is a foreign body, such as a surgical sponge, left in the nasal cavity. It is a rare, frequently misdiagnosed disease that has rarely been reported. We summarize its clinical characteristics, management, and possible risk factors. METHODOLOGY:We reviewed ...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin16.341
更新日期:2017-09-01 00:00:00
abstract::Electroencephalographic techniques are widely used to provide an objective evaluation of the chemosensory function and to explore neural mechanisms related to the processing of chemosensory events. The most popular technique to evaluate brain responses to chemosensory stimuli is across trial time-domain averaging to r...
journal_title:Rhinology
pub_type: 杂志文章,评审
doi:10.4193/Rhino11.126
更新日期:2012-03-01 00:00:00
abstract:BACKGROUND:The aim of this multicentre study was to systematically analyse the strengths and weaknesses in the surgical training for endoscopic sinus surgery (ESS) and identify measures that may improve training. METHODOLOGY:Using a structured questionnaire, 133 participants of ESS courses in seven centres in Germany,...
journal_title:Rhinology
pub_type: 杂志文章,多中心研究
doi:10.4193/Rhino11.266
更新日期:2012-09-01 00:00:00
abstract::There are two basic types of septal deformity, namely anterior nasal deformity and combined septal deformity, which may occur independently or both together. They are considered to be acquired from different types of pressures on the foetus during pregnancy or parturition. The incidence of anterior nasal deformity was...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1977-12-01 00:00:00
abstract:BACKGROUND:Nasal irrigations with antibiotics are used to eradicate Pseudomonas aeruginosa from the upper airways in patients with cystic fibrosis (CF) and thereby avoid lung colonisations; nevertheless, the efficacy is uncertain. METHODOLOGY:The aim of this study was to investigate the accessibility and durability of...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin17.243
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:To demonstrate that computer-assisted endoscopic management of inverted papillomas yields excellent long-term results in terms of preventing recurrence and minimizing significant morbidity and mortality. METHODS:A retrospective chart review of patients who are being followed up for tumour recurrence or have...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin09.105
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:To extend the previous study by Schriever and colleagues from 2018 providing normative data and re-investigating the reliability for U-Sniff test in children in additional countries. METHODOLOGY:A total of 388 children (196 boys, 192 girls) from eight countries (China, Germany, Iran, Netherlands, Norway, Om...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin19.355
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:Medical therapy including appropriate antibiotic treatment is advocated for the management of chronic rhinosinusitis (CRS), with sinus surgery reserved for treatment failures. This study investigates the microbiology of CRS and their response to culture-directed antibiotic treatment. METHODS:Sinus aspirates...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhino09.071
更新日期:2010-12-01 00:00:00
abstract::A group of 51 patients was studied by a technique of active posterior rhinomanometry that assessed the influence of breath holding, hyperventilation, and exercise on nasal resistance. Breath hodling of 30 seconds or longer produced a decrease in nasal resistance in most of the subjects tested. Hyperventilation had var...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1978-12-01 00:00:00
abstract:BACKGROUND:Epidemiological studies on chronic rhinosinusitis with nasal polyps are scarce and mostly based on questionnaires. Data obtained with such approaches can be unreliable, thus endoscopy is a prerequisite for an accurate estimate of the prevalence of nasal polyps. The objective of this study was to establish th...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin14.016
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:The aetiology behind chronic rhinosinusitis (CRS) is still poorly understood. The aim of this study was to investigate the association between the onset of CRS and several common occupational exposures over time. METHODOLOGY:An adult random population from Telemark, Norway, comprising 7,952 subjects, who an...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin20.104
更新日期:2020-12-01 00:00:00
abstract:PURPOSE:To evaluate the effects of the three-wall decompression technique using transpalpebral and endonasal approach in patients suffering from Graves' ophthalmopathy. METHODS:In this prospective study, we present a consecutive series of 15 subjects (17 eyes) who were submitted to orbital decompression by removing th...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00
abstract::The incidence of Japanese cedar pollinosis is estimated to be about 13% of the Japanese population. In Japan it is generic to wear a facemask and eyeglasses to prevent pollen inhalation. We examined the usefulness of a facemask and eyeglasses in cooperation with volunteers. The number of pollen particles in the nasal ...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2005-12-01 00:00:00
abstract::Packing of the nasal cavity following intranasal surgery is still widely practised. The removal of this packing is invariably associated with a significant amount of pain. We designed a prospective randomised case-controlled study to look at the efficacy of 4% lignocaine solution as a potential analgesic in the remova...
journal_title:Rhinology
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1996-12-01 00:00:00