A retrospective analysis of 538 sinonasal fungus ball cases treated at a single tertiary medical center in Korea (1996‐2015)

Yoon, Young Hoon; Xu, Jun; Park, Soo Kyung; Heo, Jae Hyung; Kim, Yong Min; Rha, Ki-Sang

doi:10.1002/alr.22007

Cited by 68 publications

(91 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There was also a significant difference in the frequency of irregular surface of the material between the MSFB without IH and UCRS groups (42.6% vs. 9.8%, P < .001); this feature had a significant association with MSFB (OR: 66.7, 95% CI: 10.2–474.9). Similar results were reported by Yoon et al, who reviewed 538 cases of SFB and found irregular surfaces in 88.5% of cases with partial opacification …”

Section: Discussionsupporting

confidence: 90%

“…Studies have shown that SFB mostly occurs in older individuals and with a female predominance. The average age at presentation has been reported to be 49 to 61.1 years, with women accounting for 60.1% to 76.7% of cases . The findings in the 222 patients with MSFB in the present study were similar in that the mean age was 57.9 years and 64.0% were women.…”

Section: Discussionsupporting

confidence: 78%

“…IH or calcification represents the presence of heavy metals (iron, zinc, and manganese) and calcium within fungal hyphae and has been reported to be the most reliable diagnostic feature of SFB on preoperative CT images. The prevalence of IH reported in the recent literature ranges from 66% to 82% and is 78.8% (175/222) in the present study.…”

Section: Discussionsupporting

confidence: 50%

“…CT features that have been previously reported to have diagnostic significance (i.e., sclerosis of the lateral sinus wall, erosion of the inner sinus wall, and irregular surface of the material) were evaluated (Fig. ).…”

Section: Methodsmentioning

confidence: 99%

“…Computed tomography (CT) of the sinuses is the first choice for preoperative diagnosis of chronic rhinosinusitis and for planning ESS because of its ability to delineate the fine bone structures of the sinuses, orbital lamina, and skull base . Several studies have reported the CT features of MSFB, which include intralesional hyperdensity (IH), calcification spots, erosion of the inner sinus wall, irregular surface of the material, and sclerosis of the lateral sinus wall …”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Diagnosis of a maxillary sinus fungus ball without intralesional hyperdensity on computed tomography

Lee

et al. 2018

The Laryngoscope

View full text Add to dashboard Cite

Objectives/Hypothesis Maxillary sinus fungus ball (MSFB) is the most common type of noninvasive fungal rhinosinusitis. Surgical removal of the ball achieves good outcomes. Making a rapid and accurate diagnosis is important to avoid unnecessary medical therapy. Intralesional hyperdensity (IH) on computed tomography (CT) is reportedly a good indicator. The aim of this study was to evaluate the diagnostic features of MSFB without IH on preoperative CT images. Study Design Retrospective database review. Methods Two hundred fifty‐eight patients with histopathological evidence of a sinus fungal ball were retrospectively investigated. Forty‐seven of 222 patients with MSFB did not show IH on preoperative CT images and were enrolled in the MSFB group. Forty‐one patients with unilateral nonfungal chronic rhinosinusitis were enrolled in a control group. CT features previously reported to have diagnostic significance were evaluated. Results Sclerosis of the lateral sinus wall, erosion of the inner sinus wall, and irregular surface of the material were significantly more common in the MSFB group than in the control group. In the subgroup of patients with total opacification in the maxillary sinus, the sensitivity, specificity, and positive and negative predictive values for erosion of the inner sinus wall were more than 90%. In the subgroup with partial opacification, the sensitivity, specificity, and positive predictive value of an irregular surface of the material were more than 80%. Conclusions We have devised an algorithm to help diagnose MSFB without IH on preoperative CT images. Use of this algorithm would improve the diagnostic accuracy and ensure appropriate treatment. Level of Evidence 4 Laryngoscope, 129:1041–1045, 2019

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 78%

Section: Discussionsupporting

confidence: 50%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Diagnosis of a maxillary sinus fungus ball without intralesional hyperdensity on computed tomography

Lee

et al. 2018

The Laryngoscope

View full text Add to dashboard Cite

show abstract

Contemporary Classification of Chronic Rhinosinusitis Beyond Polyps vs No Polyps

Grayson

Hopkins

Mori

et al. 2020

JAMA Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

IMPORTANCE Chronic rhinosinusitis (CRS) is a broadly defined process that has previously been used to describe many different sinonasal pathologic conditions from odontogenic sinusitis and allergic fungal sinusitis to the more contemporary definition of broad inflammatory airway conditions. Previous classification systems have dichotomized these conditions into CRS with nasal polyps and CRS without nasal polyps. However, clinicians are learning more about the inflammatory subtypes of CRS, which can lead to improved delivery and effectiveness of treatment.OBSERVATIONS In clinical practice, treatment decisions are often based on observable findings, clinical history, presumed disease, and molecular pathophysiologic characteristics. A proposed classification system is simple and practical. It proposes that the functional anatomical compartments involved create the first level of separation into local and diffuse CRS, which are usually unilateral or bilateral in distribution. Diffuse does not imply "pansinusitis" but simply that the disease is not confined to a known functional anatomical unit. This classification takes into account whether local anatomical factors are associated with pathogenesis. Then the inflammatory endotype dominance is separated into a type 2 skewed inflammation, as this has both causal and treatment implications. The non-type 2 CRS encompasses everything else that is not yet known about inflammation and may change over time. The phenotypes or clinical examples are CRS entities that have been described and how they align with this system. CONCLUSIONS AND RELEVANCEAlthough research continues to further define the subtypes of CRS into phenotypes and endotypes, the proposed classification system of primary CRS by anatomical distribution and endotype dominance allows for a pathway forward.

show abstract

Can we talk about our fears?

Smith¹

2017

Int Forum Allergy Rhinol

View full text Add to dashboard Cite

A retrospective analysis of 538 sinonasal fungus ball cases treated at a single tertiary medical center in Korea (1996‐2015)

Cited by 68 publications

References 23 publications

Diagnosis of a maxillary sinus fungus ball without intralesional hyperdensity on computed tomography

Diagnosis of a maxillary sinus fungus ball without intralesional hyperdensity on computed tomography

Contemporary Classification of Chronic Rhinosinusitis Beyond Polyps vs No Polyps

Can we talk about our fears?

Contact Info

Product

Resources

About