Fungal Ball in the Maxillary Sinus: It is Not Always a Tumor. Case Report
Article Sidebar
Main Article Content
Abstract
Introduction: The fungal ball is part of non-invasive fungal rhinosinusitis, which is usually present in the maxillary sinus. Symptoms are shared with chronic rhinosinusitis, and diagnosis is made through diagnostic imaging and endoscopic examination to rule out other causes. Case presentation: A 51-year-old female patient reconsulting with an 8-month history of symptoms of chronic rhinosinusitis without improvement. Computed tomography scan showed occupation of the left maxillary and ethmoid sinuses with osteitis, suspecting a space-occupying lesion requiring magnetic resonance imaging and surgical management. The fungal ball diagnosis was confirmed and not a tumor lesion, with complete improvement postoperatively. Discussion and conclusions: Fungal ball is classified as non-invasive fungal rhinosinusitis without mucin that requires surgical management and should be considered as a differential diagnosis, given that they can simulate tumors.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
Este es un artículo de acceso abierto, distribuido bajo los términos de la LicenciaCreativeCommons Atribución-CompartirIgual 4.0 Internacional.( http://creativecommons.org/licenses/by-sa/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada.
eISSN: 2539-0856
ISSN: 0120-8411
References
Kim DW, Kim YM, Min JY, Kim JW, Kim JK, Mo JH, et al. Clinicopathologic characteristics of paranasal sinus fungus ball: retrospective, multicenter study in Korea. Eur Arch Otorhinolaryngol. 2020;277(3):761-765. doi: 10.1007/s00405- 019-05738-5
Fadda GL, Allevi F, Rosso C, Martino F, Pipolo C, Cavallo G, et al. Treatment of Paranasal Sinus Fungus Ball: A Systematic Review and Meta-Analysis. Ann Otol Rhinol Laryngol. 2021;130(11):1302-1310. doi: 10.1177/00034894211002431
Soler ZM, Schlosser RJ. The role of fungi in diseases of the nose and sinuses. Am J Rhinol Allergy. 2012;26(5):351-8. doi: 10.2500/ajra.2012.26.3807
Kern RC, Liddy W, Hellings P. Pathogenesis of Chronic Rhinosinusitis. En: Cummings Otolaryngology: Head and Neck Surgery, Volumes 1-3. Vol. 1-3. Elsevier. 2020. p. 649- 659.e5 doi: 10.1016/B978-0-323-61179-4.00041-7
Costa F, Emanuelli E, Franz L, Tel A, Sembronio S, Robiony M. Fungus ball of the maxillary sinus: Retrospective study of 48 patients and review of the literature. Am J Otolaryngol. 2019;40(5):700-704. doi: 10.1016/j.amjoto.2019.06.006
Cavada MN, Wong E, Orgain CA, Grayson JW, Alvarado R, Campbell RG, et al. Fungal ball of the maxillary sinus and the risk of persistent sinus dysfunction after simple antrostomy. Am J Otolaryngol. 2020;41(4):102541. doi: 10.1016/j. amjoto.2020.102541