Journal of Rhinology 2010;17(1):33-36.
Published online May 31, 2010.
Clinical Features of Bilateral Paranasal Sinus Fungus Ball
Byoung Soo Shim, Yong Jin Song, Kyung Yuhl Han, Jin Ho Kim, Min Su Ha, Jong Yang Kim
1Department of Otolaryngology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
2Department of Otolaryngology, National Police Hospital, Seoul, Korea.
양측 부비동에 발생한 진균구의 임상양상
심병수, 송용진, 한경열, 김진호, 하민수, 김종양
울산대학교 의과대학 강릉아산병원 이비인후과학교실,1 경찰병원 이비인후과2
Background and Objectives
Paranasal sinus fungus balls occur usually in a single sinus, most frequently the maxillary sinus. The goal of this study was to delineate the clinical features of a bilateral paranasal sinus fungus ball.
We retrospectively reviewed seven patients who presented with a bilateral sinus fungus ball and who received endoscopic sinus surgery between July 2004 and January 2009. We analyzed age, gender, chief complaint, associated symptoms, nasal endoscopic findings, ostiomeatal unit (OMU) computed tomography (CT) results, and surgical findings. RESULT: The male to female ratio was 1:6, and the age range was from 40 to 76 years. The chief complaints were nasal obstruction in three patients, foul odour in two, postnasal dripping in one, and cheek pain in one patient. Calcification of the paranasal sinus upon CT was observed in three cases (43%). A fungus ball was found in the maxillary sinus or middle meatus in all cases.
Bilateral paranasal sinus fungus balls usually involve the bilateral maxillary sinus or middle meatus and often invade the anterior ethmoid sinus or frontal sinus.
Key Words: Paranasal sinusitis;Fungus ball;Computed tomography;Endoscopic sinus surgery

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