지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 13 - 18 (6page)
이용수
초록· 키워드
오류제보하기
Background and Objectives Fungus ball is the most common type of fungal sinusitis commonlyassociated with good prognosis. However, postoperative results depending on the extentof the lesion has not been investigated. This study aimed to identify differences in postoperativeresults depending on the location and extent of the fungus ball. Subjects and Method Medical records of 165 patients who underwent endoscopic sinussurgery and who were diagnosed with fungus balls by biopsy from 2010 to 2019 were retrospectivelyreviewed. Patients were classified into four grades according to the location and extentof the fungus ball based on their endoscopic and CT findings. Poor outcome is defined asany pathologic signs such as nasal secretion, granulation, and polyps or narrowing of the naturalostium observed postoperatively according to Kennedy’s criteria, whereas good outcomeis defined as absence of pathologic signs. Results A total of 23 patients were Grade 1, 38 Grade 2, 67 Grade 3, and 37 Grade 4. Grades1 and 2 were mostly asymptomatic. However, as the location of the fungus ball became closerto the natural ostium, patients complained postnasal drip and purulent discharge. Grades 3 and4, who have much severe and more extensive lesions than those of Grades 1 and 2, had pooroutcome (p=0.007) and took longer time to completely recover (p<0.001). Conclusion Wound healing was delayed and poor when the fungus ball was located closer tothe natural ostium of the maxillary sinus. Therefore, preoperative consultation using endoscopicand CT findings could be useful for predicting their postoperative results.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Stammberger H / 1985 / Endoscopic surgery for mycotic and chronic recurring sinusitis / Ann Otol Rhinol Laryngol Suppl 119:1~11
Nicolai P / 2009 / Fungus ball of the paranasal sinuses : Experience in 160patients treated with endoscopic surgery / Laryngoscope 119(11):2275~2279
Nomura K / 2013 / Sinus fungus ball in the Japanese population : Clinical and imaging characteristics of 104 cases / Int J Otolaryngol 2013:731640
Kennedy DW / 1992 / Prognostic factors, outcomes and staging in ethmoid sinus surgery / Laryngoscope 102(12 Pt 2 Suppl 57):1~18
Klossek JM / 1997 / Functional endoscopic sinus surgery and 109 mycetomas of paranasal sinuses / Laryngoscope 107(1):112~117
Nicolai P / 2009 / Fungus ball of the paranasal sinuses : Experience in 160patients treated with endoscopic surgery / Laryngoscope 119(11):2275~2279
Nomura K / 2013 / Sinus fungus ball in the Japanese population : Clinical and imaging characteristics of 104 cases / Int J Otolaryngol 2013:731640
Kennedy DW / 1992 / Prognostic factors, outcomes and staging in ethmoid sinus surgery / Laryngoscope 102(12 Pt 2 Suppl 57):1~18
Klossek JM / 1997 / Functional endoscopic sinus surgery and 109 mycetomas of paranasal sinuses / Laryngoscope 107(1):112~117
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