Aspergillomas of the sphenoid sinus: a series of 10 cases treated by endoscopic sinus surgery
We report our experience with 10 cases of sphenoidal aspergillomas treated by endoscopic sinus surgery (ESS). Chronic symptoms such as cough, post-nasal discharge, dysphonia and even facial pain can be encountered in the history. Computerised tomography and, occasionally, magnetic resonance imaging...
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| Veröffentlicht in: | Rhinology 1996-09, Vol.34 (3), p.179-183 |
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| creator | Klossek, J M Peloquin, L Fourcroy, P J Ferrie, J C Fontanel, J P |
| description | We report our experience with 10 cases of sphenoidal aspergillomas treated by endoscopic sinus surgery (ESS). Chronic symptoms such as cough, post-nasal discharge, dysphonia and even facial pain can be encountered in the history. Computerised tomography and, occasionally, magnetic resonance imaging are of great help in the assessment of this disease, especially when extensive skull base involvement is present. The radiological presentation can vary from an heterogeneous to homogeneous opacity with or without bone lysis to a frank pseudotumoural appearance. Four diagnostic tools have been evaluated to confirm the diagnosis: histology, direct smear, fungal cultures, and serology for Aspergillus. ESS has been successfully carried out without morbidity in all cases. No recurrence of the disease is seen after a mean follow-up of 27 months. |
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Chronic symptoms such as cough, post-nasal discharge, dysphonia and even facial pain can be encountered in the history. Computerised tomography and, occasionally, magnetic resonance imaging are of great help in the assessment of this disease, especially when extensive skull base involvement is present. The radiological presentation can vary from an heterogeneous to homogeneous opacity with or without bone lysis to a frank pseudotumoural appearance. Four diagnostic tools have been evaluated to confirm the diagnosis: histology, direct smear, fungal cultures, and serology for Aspergillus. ESS has been successfully carried out without morbidity in all cases. No recurrence of the disease is seen after a mean follow-up of 27 months.</description><identifier>ISSN: 0300-0729</identifier><identifier>PMID: 8938890</identifier><language>eng</language><publisher>Netherlands</publisher><subject>Aspergillosis - diagnosis ; Aspergillosis - surgery ; Aspergillus fumigatus ; Endoscopy ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Paranasal Sinus Diseases - diagnosis ; Paranasal Sinus Diseases - microbiology ; Paranasal Sinus Diseases - surgery ; Sphenoid Sinus ; Time Factors</subject><ispartof>Rhinology, 1996-09, Vol.34 (3), p.179-183</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8938890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klossek, J M</creatorcontrib><creatorcontrib>Peloquin, L</creatorcontrib><creatorcontrib>Fourcroy, P J</creatorcontrib><creatorcontrib>Ferrie, J C</creatorcontrib><creatorcontrib>Fontanel, J P</creatorcontrib><title>Aspergillomas of the sphenoid sinus: a series of 10 cases treated by endoscopic sinus surgery</title><title>Rhinology</title><addtitle>Rhinology</addtitle><description>We report our experience with 10 cases of sphenoidal aspergillomas treated by endoscopic sinus surgery (ESS). Chronic symptoms such as cough, post-nasal discharge, dysphonia and even facial pain can be encountered in the history. Computerised tomography and, occasionally, magnetic resonance imaging are of great help in the assessment of this disease, especially when extensive skull base involvement is present. The radiological presentation can vary from an heterogeneous to homogeneous opacity with or without bone lysis to a frank pseudotumoural appearance. Four diagnostic tools have been evaluated to confirm the diagnosis: histology, direct smear, fungal cultures, and serology for Aspergillus. ESS has been successfully carried out without morbidity in all cases. 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Chronic symptoms such as cough, post-nasal discharge, dysphonia and even facial pain can be encountered in the history. Computerised tomography and, occasionally, magnetic resonance imaging are of great help in the assessment of this disease, especially when extensive skull base involvement is present. The radiological presentation can vary from an heterogeneous to homogeneous opacity with or without bone lysis to a frank pseudotumoural appearance. Four diagnostic tools have been evaluated to confirm the diagnosis: histology, direct smear, fungal cultures, and serology for Aspergillus. ESS has been successfully carried out without morbidity in all cases. No recurrence of the disease is seen after a mean follow-up of 27 months.</abstract><cop>Netherlands</cop><pmid>8938890</pmid><tpages>5</tpages></addata></record> |
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| ispartof | Rhinology, 1996-09, Vol.34 (3), p.179-183 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aspergillosis - diagnosis Aspergillosis - surgery Aspergillus fumigatus Endoscopy Female Follow-Up Studies Humans Male Middle Aged Paranasal Sinus Diseases - diagnosis Paranasal Sinus Diseases - microbiology Paranasal Sinus Diseases - surgery Sphenoid Sinus Time Factors |
| title | Aspergillomas of the sphenoid sinus: a series of 10 cases treated by endoscopic sinus surgery |
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