Isolated frontal sinus aspergillosis treated by endoscopic modified Lothrop procedure

Kodama, Satoru; Moriyama, Masaya; Okamoto, Tomoyo; Hirano, Takashi; Suzuki, Masashi

doi:10.1016/j.anl.2008.02.004

Cited by 23 publications

(18 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Only one previous study (by Kodama et al) advocated the role of the modified Lothrop procedure for frontal sinus mucoele with contralateral frontal sinus aspergillosis. 20 We utilised the modified Lothrop procedure in three patients who presented with recurrence of symptoms. The involvement of the most lateral parts of the frontal sinus, or destruction of the posterior table of the frontal sinus (from where the disease can spread intracranially), were thought to be limitations for an endoscopic surgical approach.…”

Section: Discussionmentioning

confidence: 99%

Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach

Gupta

2013

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach

Gupta

2013

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

“…To our knowledge, Kodama et al were the first to introduce a purely endoscopic treatment for frontal sinus fungus ball. 12 Surprisingly, intra-operative exploration in both our patients revealed cheesy, clay-like material highly suggestive of a fungus ball. Accurate diagnosis was confirmed by histological investigation and isolation of A fumigatus from cultures.…”

Section: Discussionmentioning

confidence: 66%

“…Our first patient's symptoms were considered to indicate a possible frontal sinus mucocele, since frontal headache, fullness in the forehead and upper eyelid region, nasal Babinski et al 6 1 Bhalla et al 7 1 Chen & Chen 8 1 Dufour et al 2 4 Ferreiro et al 9 2 Gupta et al 10 1 Klossek et al 11 2 Kodama et al 12 1 Kumar et al 13 1 Panda & Reddy 14 2 Sekula et al 15 1 Stevens 16 1 Swoboda & Ullrich 4 1 Warder et al 17 1 Total 20 CLINICAL RECORD discharge, and obstruction are the most frequent clinical manifestations of this disease. 20 However, this patient's absence of previous trauma or surgery made this diagnosis unlikely.…”

Section: Discussionmentioning

confidence: 99%

Isolated fungus ball mimicking mucocele or frontal sinus tumour: a diagnostic pitfall

2009

View full text Add to dashboard Cite

Objective: To demonstrate the clinical, radiological and diagnostic pitfalls of managing an isolated frontal sinus fungus ball, and to compare with the literature.Material and methods: Retrospective analysis of two cases and literature review. Results: Isolated frontal sinus fungus ball is a rare cause of frontal sinus disease. We present two cases of isolated frontal sinus fungus ball which pre-operatively were suspected to be either a tumour or a mucocele. In both cases, cheesy, clay-like material was found intra-operatively within the frontal sinus, suggesting a fungus ball. Effective treatment included surgical debridement via an exclusively endoscopic or an external approach, variously. Final histopathological and mycological analysis revealed Aspergillus fumigatus. A literature review revealed 20 reported cases of isolated frontal sinus fungus ball, confirming the low prevalence of the disease.Conclusions: Frontal sinus fungus ball should be considered in the differential diagnosis of chronic, nonspecific forehead symptoms. To evaluate the underlying disease, computed tomography scans should first be performed, followed by magnetic resonance imaging if malignancy is suspected. It is essential to be aware of the possibility of an atypical fungus ball appearance on computed tomography and magnetic resonance imaging scans. If bony destruction and calcification coexist on radiological images, then endoscopic biopsy is an indispensable part of the diagnostic procedure, and should be performed to collect material for both histological and mycological analysis, and to aid surgical planning. In cases of sinus fungus ball, an endoscopic approach for biopsy may be curative.

show abstract

“…Frontal sinus fungus ball has previously been treated with conventional external incision, including external fronto-ethmoidectomy, osteoplastic flap, and trephination of the frontal sinus [5]. The endoscopic approach has only recently been advocated to treat frontal sinus fungus ball [5, 6, 10]. Sixteen cases of primary frontal sinus aspergillosis, including fungus ball (4 cases) and allergic fungal rhinosinusitis (12 cases), were treated first by endoscopic sinus surgery, and the recurrent 3 cases were treated by the EMLP [5].…”

Section: Discussionmentioning

confidence: 99%

Frontal Sinusitis with Mixed Bacterial Colonies Treated with the Combination of Endoscopic Modified Lothrop Procedure and External Approach

Nomura

Honkura

Okumura

et al. 2013

Case Reports in Otolaryngology

View full text Add to dashboard Cite

Isolated frontal sinusitis with mixed bacterial colonies is extremely rare and has not been described. We report a case of isolated frontal sinus forming mixed bacterial colonies that occurred in the previously exposed frontal sinus. The material in the frontal sinus was macroscopically similar to sinus fungus ball. Surgical strategy followed that for sinus fungus ball. The material could not be completely removed even with an endoscopic modified Lothrop procedure (Draf type III procedure). Additional external incision enabled complete removal of the remnant infectious substance. Histological examination detected two different types of organisms as intermingled bacterial colonies. External approaches to the frontal fungus ball have recently been replaced by the endonasal approach. Our case suggests that material trapped in a pit or small crevice in a frontal sinus may not be removed intranasally.

show abstract

Isolated frontal sinus aspergillosis treated by endoscopic modified Lothrop procedure

Cited by 23 publications

References 8 publications

Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach

Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach

Isolated fungus ball mimicking mucocele or frontal sinus tumour: a diagnostic pitfall

Frontal Sinusitis with Mixed Bacterial Colonies Treated with the Combination of Endoscopic Modified Lothrop Procedure and External Approach

Contact Info

Product

Resources

About