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Paranasal Sinuses
Our Experience.
Dr. Anjoo A. Choudhary
Definition
Fergusson BJ. Definitions of Fungal rhinosinusuitis. Otolaryngologic Clinics of North America. 2000; 33:
227-35.
Klossek JM, Serrano E, Preloquin L, Percodani J, Fontanel JP, Pessey JJ. Functional Endoscopic Sinus Surgery
and 109 mycetomas of paranasal sinuses. Laryngoscope. 1997; 107: 112-7
Epidemiology
Dufour X, Kauffmann- Lacroix C, Ferrie JC, Klossek JM. Paranasal sinus fungal ball: epidemiology,
clinical features & diagnosis. A retrospective analysis of 173 cases from single medical centre in
France 1989-2002. Medical Mycology. 2006; 44: 61-7.
Pathogenesis
Clinical Presentation
Variable or asymptomatic.
Persistent unilateral post-nasal dischargemost common presenting complaint.
Cacosmia.
Acute presentations are uncommon.
DNE reveals non-specific changes or
mucopurulent, cheesy,clay-like material.
Radiology
Lund VJ, Lloyd G, Savy L, Howard D. Fungal rhinosinusitis. Journal of Laryngology and Otology. 2000; 114: 7680.
CT appearance
Diagnosis
45 degree branching
Treatment
Surgical-
Fergusson BJ. Definitions of Fungal rhinosinusuitis. Otolaryngologic Clinics of North America. 2000; 33: 227-35.
Klossek JM, Serrano E, Preloquin L, Percodani J, Fontanel JP, Pessey JJ. Functional Endoscopic Sinus Surgery and 109 mycetomas of paranasal sinuses. Laryngoscope.
1997; 107: 112-7.
Prognosis
Excellent.
Dufour X, Kauffmann- Lacroix C, Ferrie JC, Karkas A et al. paranasal sinus fungal ball & surgery: a
review of 175 cases. Rhinology. 2005; 43: 34-9
Pre-operative MRI
T1WTSE
TSEAXIAL
AXIALPC
PC
T1W
Post-operative DNE
Post-operative CT scan
Post-operative DNE
Post-operative CT Scan
Post-operative DNE
Video
To conclude
THANK YOU