Sphenoid Sinus Fungal Ball and Reestablishing Sinus Function
Objectives The aim was to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction. Methods A within‐patient case–control analysis was performed on sp...
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| Veröffentlicht in: | The Laryngoscope 2024-12, Vol.134 (12), p.4888-4892 |
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| creator | Meerwein, Christian M. Seresirikachorn, Kachorn Lindsay, Blake Sacks, Peta‐Lee Kalish, Larry Campbell, Raewyn G. Sacks, Ray R. Harvey, Richard J. |
| description | Objectives
The aim was to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction.
Methods
A within‐patient case–control analysis was performed on sphenoid sinus dimensions from patients with sphenoid sinus fungal ball (SSFB). Radiological dimensions were assessed to determine the dominant or larger sinus by volume and width. Pneumatization in the sagittal and lateral extent was assessed. The influence of sinus size and pneumatization variants within a patient was analyzed. Patency and the presence of mucostasis from radical reshaping of the sinus cavity were documented at least 3 months after surgery. Complications (bleeding, cerebrospinal fluid leak, and cranial nerve palsy) were recorded.
Results
Twenty‐three patients (59 ± 19 years, 86% female, 46 sphenoid sinuses) were assessed. Fungal ball was more common in the smaller (non‐dominant) sinus, by width (78% vs. 22%, p |
| doi_str_mv | 10.1002/lary.31635 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3079174331</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3079174331</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2465-914d80ce292451cdc5e323316d4eca164c2107cb81aa5472a6af34ffeea621f53</originalsourceid><addsrcrecordid>eNp9kE9LwzAYh4Mobk4vfgApeBGhmjd_2ga8zOFUGAibgp5ClqZbR5bOZkX27c3sVPDg6T28Dw8_HoROAV8BxuTaqnpzRSGhfA91gVOImRB8H3XDk8YZJ68ddOT9AmNIKceHqEMzIViWQhfdTFZz46oyjyala3w0bNxM2ehWWRspl0djY_xaTW3p56Wb_UJ6XVbuGB0Uynpzsrs99DK8ex48xKOn-8dBfxRrwhIeC2B5hrUhgjAOOtfcUELD4JwZrSBhmgBO9TQDpThLiUpUQVlRGKMSAgWnPXTReld19d6EQXJZem2sVc5UjZcUpwJSFpQBPf-DLqqmdmGdpEAy4CxJRKAuW0rXlfe1KeSqLpchowQst03ltqn8ahrgs52ymS5N_oN-RwwAtMBHac3mH5Uc9cdvrfQTjDh_1w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3128154669</pqid></control><display><type>article</type><title>Sphenoid Sinus Fungal Ball and Reestablishing Sinus Function</title><source>MEDLINE</source><source>Wiley Journals</source><creator>Meerwein, Christian M. ; Seresirikachorn, Kachorn ; Lindsay, Blake ; Sacks, Peta‐Lee ; Kalish, Larry ; Campbell, Raewyn G. ; Sacks, Ray R. ; Harvey, Richard J.</creator><creatorcontrib>Meerwein, Christian M. ; Seresirikachorn, Kachorn ; Lindsay, Blake ; Sacks, Peta‐Lee ; Kalish, Larry ; Campbell, Raewyn G. ; Sacks, Ray R. ; Harvey, Richard J.</creatorcontrib><description>Objectives
The aim was to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction.
Methods
A within‐patient case–control analysis was performed on sphenoid sinus dimensions from patients with sphenoid sinus fungal ball (SSFB). Radiological dimensions were assessed to determine the dominant or larger sinus by volume and width. Pneumatization in the sagittal and lateral extent was assessed. The influence of sinus size and pneumatization variants within a patient was analyzed. Patency and the presence of mucostasis from radical reshaping of the sinus cavity were documented at least 3 months after surgery. Complications (bleeding, cerebrospinal fluid leak, and cranial nerve palsy) were recorded.
Results
Twenty‐three patients (59 ± 19 years, 86% female, 46 sphenoid sinuses) were assessed. Fungal ball was more common in the smaller (non‐dominant) sinus, by width (78% vs. 22%, p < 0.01) and by proportion of total sphenoid volume (0.39 ± 0.16 vs. 0.61 ± 0.16, p < 0.01). Pneumatization variants did not influence the development of SSFB within a patient. All patients had patency and the absence of mucostasis or persistent inflammation at last follow‐up. No complications were reported.
Conclusion
The smaller or nondominant sphenoid sinus is more affected by SSFB. Surgical reshaping of the sphenoid to prevent mucostasis is favorable in managing the smaller affected sinus cavity.
Level of Evidence
4 Laryngoscope, 134:4888–4892, 2024
This study aims to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction. We found that the smaller or nondominant sphenoid sinus is more affected by sphenoid sinus fungal ball. Surgical reshaping of the sphenoid to prevent mucostasis is favorable in managing the smaller affected sinus cavity.</description><identifier>ISSN: 0023-852X</identifier><identifier>ISSN: 1531-4995</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.31635</identifier><identifier>PMID: 38994871</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Case-Control Studies ; Female ; fungal ball ; Humans ; Male ; Middle Aged ; mycetoma ; Mycoses - microbiology ; Mycoses - surgery ; Patients ; Retrospective Studies ; rhinosinusitis ; Sinuses ; sphenoid sinus ; Sphenoid Sinus - diagnostic imaging ; Sphenoid Sinus - microbiology ; Sphenoid Sinus - surgery ; Sphenoid Sinusitis - complications ; Sphenoid Sinusitis - microbiology ; Sphenoid Sinusitis - surgery ; surgery ; Tomography, X-Ray Computed</subject><ispartof>The Laryngoscope, 2024-12, Vol.134 (12), p.4888-4892</ispartof><rights>2024 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2465-914d80ce292451cdc5e323316d4eca164c2107cb81aa5472a6af34ffeea621f53</cites><orcidid>0000-0002-0158-7638 ; 0000-0002-8674-1007</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.31635$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.31635$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38994871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Meerwein, Christian M.</creatorcontrib><creatorcontrib>Seresirikachorn, Kachorn</creatorcontrib><creatorcontrib>Lindsay, Blake</creatorcontrib><creatorcontrib>Sacks, Peta‐Lee</creatorcontrib><creatorcontrib>Kalish, Larry</creatorcontrib><creatorcontrib>Campbell, Raewyn G.</creatorcontrib><creatorcontrib>Sacks, Ray R.</creatorcontrib><creatorcontrib>Harvey, Richard J.</creatorcontrib><title>Sphenoid Sinus Fungal Ball and Reestablishing Sinus Function</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description>Objectives
The aim was to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction.
Methods
A within‐patient case–control analysis was performed on sphenoid sinus dimensions from patients with sphenoid sinus fungal ball (SSFB). Radiological dimensions were assessed to determine the dominant or larger sinus by volume and width. Pneumatization in the sagittal and lateral extent was assessed. The influence of sinus size and pneumatization variants within a patient was analyzed. Patency and the presence of mucostasis from radical reshaping of the sinus cavity were documented at least 3 months after surgery. Complications (bleeding, cerebrospinal fluid leak, and cranial nerve palsy) were recorded.
Results
Twenty‐three patients (59 ± 19 years, 86% female, 46 sphenoid sinuses) were assessed. Fungal ball was more common in the smaller (non‐dominant) sinus, by width (78% vs. 22%, p < 0.01) and by proportion of total sphenoid volume (0.39 ± 0.16 vs. 0.61 ± 0.16, p < 0.01). Pneumatization variants did not influence the development of SSFB within a patient. All patients had patency and the absence of mucostasis or persistent inflammation at last follow‐up. No complications were reported.
Conclusion
The smaller or nondominant sphenoid sinus is more affected by SSFB. Surgical reshaping of the sphenoid to prevent mucostasis is favorable in managing the smaller affected sinus cavity.
Level of Evidence
4 Laryngoscope, 134:4888–4892, 2024
This study aims to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction. We found that the smaller or nondominant sphenoid sinus is more affected by sphenoid sinus fungal ball. Surgical reshaping of the sphenoid to prevent mucostasis is favorable in managing the smaller affected sinus cavity.</description><subject>Adult</subject><subject>Aged</subject><subject>Case-Control Studies</subject><subject>Female</subject><subject>fungal ball</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>mycetoma</subject><subject>Mycoses - microbiology</subject><subject>Mycoses - surgery</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>rhinosinusitis</subject><subject>Sinuses</subject><subject>sphenoid sinus</subject><subject>Sphenoid Sinus - diagnostic imaging</subject><subject>Sphenoid Sinus - microbiology</subject><subject>Sphenoid Sinus - surgery</subject><subject>Sphenoid Sinusitis - complications</subject><subject>Sphenoid Sinusitis - microbiology</subject><subject>Sphenoid Sinusitis - surgery</subject><subject>surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0023-852X</issn><issn>1531-4995</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE9LwzAYh4Mobk4vfgApeBGhmjd_2ga8zOFUGAibgp5ClqZbR5bOZkX27c3sVPDg6T28Dw8_HoROAV8BxuTaqnpzRSGhfA91gVOImRB8H3XDk8YZJ68ddOT9AmNIKceHqEMzIViWQhfdTFZz46oyjyala3w0bNxM2ehWWRspl0djY_xaTW3p56Wb_UJ6XVbuGB0Uynpzsrs99DK8ex48xKOn-8dBfxRrwhIeC2B5hrUhgjAOOtfcUELD4JwZrSBhmgBO9TQDpThLiUpUQVlRGKMSAgWnPXTReld19d6EQXJZem2sVc5UjZcUpwJSFpQBPf-DLqqmdmGdpEAy4CxJRKAuW0rXlfe1KeSqLpchowQst03ltqn8ahrgs52ymS5N_oN-RwwAtMBHac3mH5Uc9cdvrfQTjDh_1w</recordid><startdate>202412</startdate><enddate>202412</enddate><creator>Meerwein, Christian M.</creator><creator>Seresirikachorn, Kachorn</creator><creator>Lindsay, Blake</creator><creator>Sacks, Peta‐Lee</creator><creator>Kalish, Larry</creator><creator>Campbell, Raewyn G.</creator><creator>Sacks, Ray R.</creator><creator>Harvey, Richard J.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0158-7638</orcidid><orcidid>https://orcid.org/0000-0002-8674-1007</orcidid></search><sort><creationdate>202412</creationdate><title>Sphenoid Sinus Fungal Ball and Reestablishing Sinus Function</title><author>Meerwein, Christian M. ; Seresirikachorn, Kachorn ; Lindsay, Blake ; Sacks, Peta‐Lee ; Kalish, Larry ; Campbell, Raewyn G. ; Sacks, Ray R. ; Harvey, Richard J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2465-914d80ce292451cdc5e323316d4eca164c2107cb81aa5472a6af34ffeea621f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Case-Control Studies</topic><topic>Female</topic><topic>fungal ball</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>mycetoma</topic><topic>Mycoses - microbiology</topic><topic>Mycoses - surgery</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>rhinosinusitis</topic><topic>Sinuses</topic><topic>sphenoid sinus</topic><topic>Sphenoid Sinus - diagnostic imaging</topic><topic>Sphenoid Sinus - microbiology</topic><topic>Sphenoid Sinus - surgery</topic><topic>Sphenoid Sinusitis - complications</topic><topic>Sphenoid Sinusitis - microbiology</topic><topic>Sphenoid Sinusitis - surgery</topic><topic>surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meerwein, Christian M.</creatorcontrib><creatorcontrib>Seresirikachorn, Kachorn</creatorcontrib><creatorcontrib>Lindsay, Blake</creatorcontrib><creatorcontrib>Sacks, Peta‐Lee</creatorcontrib><creatorcontrib>Kalish, Larry</creatorcontrib><creatorcontrib>Campbell, Raewyn G.</creatorcontrib><creatorcontrib>Sacks, Ray R.</creatorcontrib><creatorcontrib>Harvey, Richard J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meerwein, Christian M.</au><au>Seresirikachorn, Kachorn</au><au>Lindsay, Blake</au><au>Sacks, Peta‐Lee</au><au>Kalish, Larry</au><au>Campbell, Raewyn G.</au><au>Sacks, Ray R.</au><au>Harvey, Richard J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sphenoid Sinus Fungal Ball and Reestablishing Sinus Function</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2024-12</date><risdate>2024</risdate><volume>134</volume><issue>12</issue><spage>4888</spage><epage>4892</epage><pages>4888-4892</pages><issn>0023-852X</issn><issn>1531-4995</issn><eissn>1531-4995</eissn><abstract>Objectives
The aim was to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction.
Methods
A within‐patient case–control analysis was performed on sphenoid sinus dimensions from patients with sphenoid sinus fungal ball (SSFB). Radiological dimensions were assessed to determine the dominant or larger sinus by volume and width. Pneumatization in the sagittal and lateral extent was assessed. The influence of sinus size and pneumatization variants within a patient was analyzed. Patency and the presence of mucostasis from radical reshaping of the sinus cavity were documented at least 3 months after surgery. Complications (bleeding, cerebrospinal fluid leak, and cranial nerve palsy) were recorded.
Results
Twenty‐three patients (59 ± 19 years, 86% female, 46 sphenoid sinuses) were assessed. Fungal ball was more common in the smaller (non‐dominant) sinus, by width (78% vs. 22%, p < 0.01) and by proportion of total sphenoid volume (0.39 ± 0.16 vs. 0.61 ± 0.16, p < 0.01). Pneumatization variants did not influence the development of SSFB within a patient. All patients had patency and the absence of mucostasis or persistent inflammation at last follow‐up. No complications were reported.
Conclusion
The smaller or nondominant sphenoid sinus is more affected by SSFB. Surgical reshaping of the sphenoid to prevent mucostasis is favorable in managing the smaller affected sinus cavity.
Level of Evidence
4 Laryngoscope, 134:4888–4892, 2024
This study aims to assess the developmental attributes of sphenoid sinuses affected by fungal balls and describe a surgical approach which reestablishes gravity‐dependent drainage to compensate for any mucociliary dysfunction. We found that the smaller or nondominant sphenoid sinus is more affected by sphenoid sinus fungal ball. Surgical reshaping of the sphenoid to prevent mucostasis is favorable in managing the smaller affected sinus cavity.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38994871</pmid><doi>10.1002/lary.31635</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-0158-7638</orcidid><orcidid>https://orcid.org/0000-0002-8674-1007</orcidid></addata></record> |
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| ispartof | The Laryngoscope, 2024-12, Vol.134 (12), p.4888-4892 |
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| subjects | Adult Aged Case-Control Studies Female fungal ball Humans Male Middle Aged mycetoma Mycoses - microbiology Mycoses - surgery Patients Retrospective Studies rhinosinusitis Sinuses sphenoid sinus Sphenoid Sinus - diagnostic imaging Sphenoid Sinus - microbiology Sphenoid Sinus - surgery Sphenoid Sinusitis - complications Sphenoid Sinusitis - microbiology Sphenoid Sinusitis - surgery surgery Tomography, X-Ray Computed |
| title | Sphenoid Sinus Fungal Ball and Reestablishing Sinus Function |
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