Assessment of the necessity of frontal sinostomy in cases of frontal sinusitis associated with fungus ball of the maxillary sinus
| Autor: | Yichen Li, Ping Fang, Chao-bing Gao, Dong Wang, Hongting Hua, Yi Zhao |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Maxillary sinus medicine.medical_treatment 03 medical and health sciences Frontal Sinusitis 0302 clinical medicine medicine Humans Cacosmia In patient 030223 otorhinolaryngology rhinorrhea biology business.industry Fungi Endoscopy General Medicine Maxillary Sinus Maxillary Sinusitis biology.organism_classification Sinusotomy Surgery Treatment Outcome medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Chronic Disease Frontal Sinus Neurosurgery medicine.symptom business |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 279:1885-1890 |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | This study was conducted to evaluate outcomes in patients presenting with fungus ball of the maxillary sinus (MSFB) and frontal sinusitis who were treated via middle meatal antrostomy alone. This was a randomized, controlled study with a parallel group design. Patients with MSFB and frontal sinusitis were randomly assigned to the maxillary middle meatal antrostomy (MMMA) or control (MMMA + frontal sinusotomy) groups. Patient demographics, complaints, imaging findings were analyzed, and surgical outcomes were evaluated using the Lund–Kennedy endoscopic score (LKES) and the 22-item Sino-Nasal Outcome Test (SNOT-22) questionnaire. In total, 40 patients were separated into two groups, with similar symptoms including nasal obstruction, mucopurulent rhinorrhea, maxillary or frontal pain, blood stained nasal discharge, nasal cacosmia and orbital pain being observed in both groups. Total LKES and SNOT-22 scores were significantly improved in both groups at 6 months post-treatment, with no significant differences in these scores between groups within a mean 6.8-month follow-up. These results suggest that frontal sinusotomy is not required to resolve frontal sinusitis associated with MSFB. As such frontal sinusitis appears to be a reactive process caused by fungal ball obstruction, it regresses spontaneously following fungus ball removal, drainage of the maxillary sinus, and middle meatal antrostomy. |
| Databáze: | OpenAIRE |
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