Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
, 264 (5), 461-70

Fungus Balls of the Paranasal Sinuses: A Review

Affiliations
Review

Fungus Balls of the Paranasal Sinuses: A Review

Pierre Grosjean et al. Eur Arch Otorhinolaryngol.

Abstract

In the past 30 years, thanks in part to the advance of both endoscopic technology and imaging possibilities, the classification, diagnosis, and management of rhinosinusitis caused by fungi have been better defined. These are basically divided into invasive and non-invasive forms based on the presence or absence of microscopic evidence of fungal hyphae within the tissues. Among the non-invasive fungal sinus diseases, fungus ball has been increasingly reported and large published series have allowed better characterization of the disease and the treatment strategies. Fungus ball of the paranasal sinuses is defined as the non-invasive accumulation of dense fungal concrements in sinusal cavities, most often the maxillary sinus. To describe this entity, confusing or misleading terms such as mycetoma, aspergilloma or aspergillosis would be best avoided. Clinical presentation is non-specific and the diagnosis is usually suspected on imaging studies. Surgical treatment, usually through an endonasal endoscopic approach, is curative. In this paper, we review the clinical, radiological, and pathological presentation of the fungus ball of the paranasal sinuses as well as the surgical management with emphasis on the transnasal endoscopic approach.

Similar articles

  • Fungal Infections of the Paranasal Sinuses
    B Karci et al. Rev Laryngol Otol Rhinol (Bord) 122 (1), 31-5. PMID 11499230.
    Fungal infections can be mainly grouped into four types. The invasive forms are acute sinusitis (fulminant), chronic sinusitis (indolent), whereas the non-invasive forms …
  • Clinical Features of the Paranasal Sinus Fungus Ball
    KC Lee. J Otolaryngol 36 (5), 270-3. PMID 17963665.
    Transnasal endoscopic sinus surgery, followed by postoperative nasal cavity and paranasal sinus irrigation, is effective as a primary treatment method for paranasal sinus …
  • Paranasal Sinus Fungus Balls
    JA Ferreiro et al. Head Neck 19 (6), 481-6. PMID 9278755.
    Paranasal sinus fungus balls occurs in an elderly population and have a female predominance. They have a low morbidity and recurrence rate. Death can occur in sphenoid si …
  • Fungal Rhinosinusitis: A Radiological Review With Intraoperative Correlation
    E Ni Mhurchu et al. Can Assoc Radiol J 68 (2), 178-186. PMID 28438285. - Review
    The interaction between fungi and the sinonasal tract results in a range of clinical presentations with a broad spectrum of clinical severity. The most commonly accepted …
  • Paranasal Sinus Fungus Ball: Diagnosis and Management
    F Pagella et al. Mycoses 50 (6), 451-6. PMID 17944705. - Review
    Paranasal sinus fungus ball is an extramucosal mycosis, usually occurring in immunocompetent people as a monolateral lesion. To review the literature data and to report t …
See all similar articles

Cited by 44 PubMed Central articles

See all "Cited by" articles

References

    1. Am J Otolaryngol. 2005 Nov-Dec;26(6):426-9 - PubMed
    1. Mayo Clin Proc. 1999 Sep;74(9):877-84 - PubMed
    1. Am J Rhinol. 2000 Jul-Aug;14(4):227-31 - PubMed
    1. Braz Dent J. 2004;15(3):248-50 - PubMed
    1. J Otolaryngol. 1994 Apr;23(2):92-6 - PubMed

Publication types

LinkOut - more resources

Feedback