The Experts below are selected from a list of 324 Experts worldwide ranked by ideXlab platform
J M Klossek - One of the best experts on this subject based on the ideXlab platform.
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paranasal sinus Fungus Ball and surgery a review of 175 cases
Rhinology, 2005Co-Authors: X Dufour, C Kauffmannlacroix, J C Ferrie, J M Goujon, Mariehelene Rodier, Alexandre Karkas, J M KlossekAbstract:Objective: To analyze the surgical results after Functional Endoscopic Sinus Surgery (FESS) in patients with paranasal sinus Fungus Ball. Material and methods: Retrospective analysis of the results of FESS performed in 175 patients suffering from paranasal sinus Fungus Balls. Results: All maxillary (n=150), sphenoidal (n= 20), and ethmoidal (n = 4) locations have been treated exclusively by FESS to obtain a wide opening of the affected sinuses, allowing a careful extraction of all fungal material without removal of the inflamed mucous membrane. No major complication occurred. Postoperative care was reduced to nasal lavage with topical steroids for 3 to 6 weeks. Only I case of local failure have been observed (maxillary sinus, n = 1), and 6 cases of persisting of Fungus Ball (maxillary sinus, n = 4; frontal sinus, n = 2) with a mean follow-up of 5 years. No medical treatment (antibiotic, antifungal) was required. Conclusion: Surgical treatment of a Fungus Ball consists in opening the infected sinus cavity at the level of its ostium and removing fungal concretions while sparing the normal mucosa. No antifungal therapy is required. Finally, through this 175 patients study, FESS appears a reliable and safe surgical treatment with a low morbidity.
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paranasal sinus Fungus Ball and surgery a review of 175 cases
Rhinology, 2005Co-Authors: X Dufour, C Kauffmannlacroix, J C Ferrie, J M Goujon, Mariehelene Rodier, Alexandre Karkas, J M KlossekAbstract:Objective: To analyze the surgical results after Functional Endoscopic Sinus Surgery (FESS) in patients with paranasal sinus Fungus Ball. Material and methods: Retrospective analysis of the results of FESS performed in 175 patients suffering from paranasal sinus Fungus Balls. Results: All maxillary (n=150), sphenoidal (n= 20), and ethmoidal (n = 4) locations have been treated exclusively by FESS to obtain a wide opening of the affected sinuses, allowing a careful extraction of all fungal material without removal of the inflamed mucous membrane. No major complication occurred. Postoperative care was reduced to nasal lavage with topical steroids for 3 to 6 weeks. Only I case of local failure have been observed (maxillary sinus, n = 1), and 6 cases of persisting of Fungus Ball (maxillary sinus, n = 4; frontal sinus, n = 2) with a mean follow-up of 5 years. No medical treatment (antibiotic, antifungal) was required. Conclusion: Surgical treatment of a Fungus Ball consists in opening the infected sinus cavity at the level of its ostium and removing fungal concretions while sparing the normal mucosa. No antifungal therapy is required. Finally, through this 175 patients study, FESS appears a reliable and safe surgical treatment with a low morbidity.
Alexandre Karkas - One of the best experts on this subject based on the ideXlab platform.
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sphenoid sinus Fungus Ball
European Archives of Oto-rhino-laryngology, 2013Co-Authors: Alexandre Karkas, Raed Rtail, E Reyt, Nasser Timi, C A RighiniAbstract:The objective of this retrospective study is to present a large series of patients with sphenoid sinus Fungus Ball (SSFB) and describe clinical manifestations, diagnostic workup, surgical treatment, and eventual complications of this disease. We included patients operated on for this disease over a 14-year period. All patients benefited from mid-to-long-term follow-up. There were 28 patients (18 females, 10 males, mean age 64 years). Main symptoms were posterior rhinorrhea and headache. Less common symptoms were alteration of vision or ocular mobility and cacosmia. Preoperative diagnosis was based on nasal endoscopy and CT scanning. MRI was performed in case of suspicion of a tumor, an intraorbital or intracranial invasion. Treatment consisted in endoscopic transnasal or transethmoidal sphenoidotomy with removal of the Fungus Ball. Specimens were sent to pathology and mycology to confirm diagnosis. Postoperative complications consisted of two cases of epistaxis and two other cases of bacterial superinfection of the operated sphenoid cavity. No recurrence of the Fungus Ball was seen after a mean follow-up of 13 months. To conclude, SSFB is a relatively uncommon entity, usually due to Aspergillus infection. Although not invasive, if left untreated, it can lead to long-term serious complications. Preoperative nasal endoscopic examination and CT scan are the standard tools for diagnosis. Endoscopic sphenoidotomy with removal of the Fungus Ball is the current treatment because it has proven effective and has a low morbidity and recurrence rate.
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paranasal sinus Fungus Ball and surgery a review of 175 cases
Rhinology, 2005Co-Authors: X Dufour, C Kauffmannlacroix, J C Ferrie, J M Goujon, Mariehelene Rodier, Alexandre Karkas, J M KlossekAbstract:Objective: To analyze the surgical results after Functional Endoscopic Sinus Surgery (FESS) in patients with paranasal sinus Fungus Ball. Material and methods: Retrospective analysis of the results of FESS performed in 175 patients suffering from paranasal sinus Fungus Balls. Results: All maxillary (n=150), sphenoidal (n= 20), and ethmoidal (n = 4) locations have been treated exclusively by FESS to obtain a wide opening of the affected sinuses, allowing a careful extraction of all fungal material without removal of the inflamed mucous membrane. No major complication occurred. Postoperative care was reduced to nasal lavage with topical steroids for 3 to 6 weeks. Only I case of local failure have been observed (maxillary sinus, n = 1), and 6 cases of persisting of Fungus Ball (maxillary sinus, n = 4; frontal sinus, n = 2) with a mean follow-up of 5 years. No medical treatment (antibiotic, antifungal) was required. Conclusion: Surgical treatment of a Fungus Ball consists in opening the infected sinus cavity at the level of its ostium and removing fungal concretions while sparing the normal mucosa. No antifungal therapy is required. Finally, through this 175 patients study, FESS appears a reliable and safe surgical treatment with a low morbidity.
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paranasal sinus Fungus Ball and surgery a review of 175 cases
Rhinology, 2005Co-Authors: X Dufour, C Kauffmannlacroix, J C Ferrie, J M Goujon, Mariehelene Rodier, Alexandre Karkas, J M KlossekAbstract:Objective: To analyze the surgical results after Functional Endoscopic Sinus Surgery (FESS) in patients with paranasal sinus Fungus Ball. Material and methods: Retrospective analysis of the results of FESS performed in 175 patients suffering from paranasal sinus Fungus Balls. Results: All maxillary (n=150), sphenoidal (n= 20), and ethmoidal (n = 4) locations have been treated exclusively by FESS to obtain a wide opening of the affected sinuses, allowing a careful extraction of all fungal material without removal of the inflamed mucous membrane. No major complication occurred. Postoperative care was reduced to nasal lavage with topical steroids for 3 to 6 weeks. Only I case of local failure have been observed (maxillary sinus, n = 1), and 6 cases of persisting of Fungus Ball (maxillary sinus, n = 4; frontal sinus, n = 2) with a mean follow-up of 5 years. No medical treatment (antibiotic, antifungal) was required. Conclusion: Surgical treatment of a Fungus Ball consists in opening the infected sinus cavity at the level of its ostium and removing fungal concretions while sparing the normal mucosa. No antifungal therapy is required. Finally, through this 175 patients study, FESS appears a reliable and safe surgical treatment with a low morbidity.
Paolo Castelnuovo - One of the best experts on this subject based on the ideXlab platform.
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Surgical and pathogenetic considerations of frontal sinus Fungus Ball.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated wi, 2017Co-Authors: Elena Bernardini, Paolo Castelnuovo, Apostolos Karligkiotis, Susanna Fortunato, Iacopo DallanAbstract:Fungus Ball (FB) is an non-invasive form of mycosis, that generally affects immunocompetent and non-atopic subjects. Involvement of the frontal sinus is extremely rare. We report two cases with frontal sinus Fungus Ball that underwent endoscopic endonasal frontal Draf type IIb or III sinusotomy with complete removal of the cheesy clay-like material. There were no intra-operative or postoperative complications, and no recurrence of disease was evident during the follow-up of 51 and 26 months, respectively. The Draf type IIb or type III frontal sinusotomy seems to be highly effective for the treatment of frontal sinus FB and can represent a valid alternative to the traditional external approaches.
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sphenoid sinus Fungus Ball our experience
American Journal of Rhinology & Allergy, 2011Co-Authors: Fabio Pagella, Alessandro Pusateri, Elina Matti, Georgios Giourgos, C Cavanna, Francesca De Bernardi, Maurizio Bignami, Paolo CastelnuovoAbstract:BackgroundFungal rhinosinusitis is a common disease of the paranasal sinuses. The Fungus Ball (FB) is defined as an extramucosal mycotic proliferation that fills one or more paranasal sinuses. Sphe...
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paranasal sinus Fungus Ball diagnosis and management
Mycoses, 2007Co-Authors: Fabio Pagella, Elina Matti, C Cavanna, Francesca De Bernardi, Lucia Semino, P Marone, Claudio Farina, Paolo CastelnuovoAbstract:Paranasal sinus Fungus Ball is an extramucosal mycosis, usually occurring in immunocompetent people as a monolateral lesion. To review the literature data and to report the Policlinico S. Matteo, University of Pavia experience, 81 patients presenting paranasal Fungus Ball have been treated (January 1994 to May 2005). Twenty-seven men and 54 women (19-91 years old; mean 49.4 years) were considered. Seventy-three patients had a single sinus affected, but eight presented multiple localisations. Maxillary was the most involved sinus followed by sphenoidal and ethmoidal. Moulds have been isolated in 28/81 cases. Histology showed fungal colonisation but not invasion in all cases. Tomography showed bone erosion in 33.3% of patients. All have been treated only by functional endoscopic sinus surgery. Seventy-seven of 81 patients have been cured. Four of 81 patients needed another surgical treatment. Follow up was between 6 and 132 months (average: 63 months). Fungus Ball is a sinusal pathology caused by mycetes like Aspergillus spp. Histology confirms the fungal aethiology excluding tissue invasion. Mycological culture consented to identify the pathogenic mould in 34.5% of cases. Actually functional endoscopic sinus surgery is the gold standard for treatment of this pathology, and antifungal therapy is unnecessary.
Zia U. Khan - One of the best experts on this subject based on the ideXlab platform.
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Renal Fungus Ball in a patient with retroperitoneal fibrosis: Unique complication in a rare disease.
Mycoses, 2018Co-Authors: Khaled Al-obaid, Mostafa Faty, Ahmed R. El-nahas, Abdullatif Al-terki, Zia U. KhanAbstract:Candida Fungus Ball is a rare presentation of urinary tract infections among adult patients and is associated with considerable morbidity. Because clinical signs are not specific, diagnosis is often delayed. Furthermore, treatment is occasionally difficult, and the approach to such cases varies widely among different centers. In this report, we describe a patient with retroperitoneal fibrosis who developed a renal Fungus Ball. Management of this challenging case is discussed, and review of the literature is presented.
X Dufour - One of the best experts on this subject based on the ideXlab platform.
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paranasal sinus Fungus Ball and surgery a review of 175 cases
Rhinology, 2005Co-Authors: X Dufour, C Kauffmannlacroix, J C Ferrie, J M Goujon, Mariehelene Rodier, Alexandre Karkas, J M KlossekAbstract:Objective: To analyze the surgical results after Functional Endoscopic Sinus Surgery (FESS) in patients with paranasal sinus Fungus Ball. Material and methods: Retrospective analysis of the results of FESS performed in 175 patients suffering from paranasal sinus Fungus Balls. Results: All maxillary (n=150), sphenoidal (n= 20), and ethmoidal (n = 4) locations have been treated exclusively by FESS to obtain a wide opening of the affected sinuses, allowing a careful extraction of all fungal material without removal of the inflamed mucous membrane. No major complication occurred. Postoperative care was reduced to nasal lavage with topical steroids for 3 to 6 weeks. Only I case of local failure have been observed (maxillary sinus, n = 1), and 6 cases of persisting of Fungus Ball (maxillary sinus, n = 4; frontal sinus, n = 2) with a mean follow-up of 5 years. No medical treatment (antibiotic, antifungal) was required. Conclusion: Surgical treatment of a Fungus Ball consists in opening the infected sinus cavity at the level of its ostium and removing fungal concretions while sparing the normal mucosa. No antifungal therapy is required. Finally, through this 175 patients study, FESS appears a reliable and safe surgical treatment with a low morbidity.
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paranasal sinus Fungus Ball and surgery a review of 175 cases
Rhinology, 2005Co-Authors: X Dufour, C Kauffmannlacroix, J C Ferrie, J M Goujon, Mariehelene Rodier, Alexandre Karkas, J M KlossekAbstract:Objective: To analyze the surgical results after Functional Endoscopic Sinus Surgery (FESS) in patients with paranasal sinus Fungus Ball. Material and methods: Retrospective analysis of the results of FESS performed in 175 patients suffering from paranasal sinus Fungus Balls. Results: All maxillary (n=150), sphenoidal (n= 20), and ethmoidal (n = 4) locations have been treated exclusively by FESS to obtain a wide opening of the affected sinuses, allowing a careful extraction of all fungal material without removal of the inflamed mucous membrane. No major complication occurred. Postoperative care was reduced to nasal lavage with topical steroids for 3 to 6 weeks. Only I case of local failure have been observed (maxillary sinus, n = 1), and 6 cases of persisting of Fungus Ball (maxillary sinus, n = 4; frontal sinus, n = 2) with a mean follow-up of 5 years. No medical treatment (antibiotic, antifungal) was required. Conclusion: Surgical treatment of a Fungus Ball consists in opening the infected sinus cavity at the level of its ostium and removing fungal concretions while sparing the normal mucosa. No antifungal therapy is required. Finally, through this 175 patients study, FESS appears a reliable and safe surgical treatment with a low morbidity.
