Korean J Otorhinolaryngol-Head Neck Surg.
2019 Oct;62(10):598-601. 10.3342/kjorl-hns.2018.00885.
Two Cases of Bilateral Paranasal Sinus Fungus Balls with Sphenoid Sinus Involvement
- Affiliations
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- 1Department of Otolaryngology, Kangwon National University Hospital, School of Medicine, Kangwon National University, Chuncheon, Korea. wonjy@kangwon.ac.kr
- 2Department of Otolaryngology, National Police Hospital, Seoul, Korea.
- KMID: 2464282
- DOI: http://doi.org/10.3342/kjorl-hns.2018.00885
Abstract
- A fungus ball is the most common manifestation of fungal sinusitis. Bilateral involvement of fungus balls is rare, and bilateral sphenoid involvement is even more uncommon. The authors report two cases of bilateral fungus balls with sphenoid sinus involvement successfully treated with endoscopic sinus surgery. Both patients complained of nonspecific headache; diagnoses were made with CT and histopathological examinations, and surgical removal was achieved via transostial approach. Bilateral fungus balls involving the sphenoid sinus are rare but do occur; their removal is possible through endoscopic sinus surgery with a high cure rate. We thus recommend using CT scanning to identify typical findings of a sphenoid fungus ball even in bilateral paranasal sinusitis and perform aggressive surgical treatment.
