Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review
Fungus ball (FB) is a non-invasive mycosis typically found in the paranasal sinuses, predominantly the maxillary sinus. This case report describes the diagnosis and treatment of a recurrent maxillary FB in a 58-year-old patient, managed through Functional Endoscopic Sinus Surgery (FESS) combined wit...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Publymed
2024-04-01
|
| Series: | Annali di Stomatologia |
| Online Access: | https://www.annalidistomatologia.eu/ads/article/view/364/356 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832577663102877696 |
|---|---|
| author | Francesca Romana Federici Giacomo D’Angeli Gianluca Pingitore Alessio Riccardi Valentina Vannini Alessandro Corsi Mara Riminucci Giovanni D’Erme |
| author_facet | Francesca Romana Federici Giacomo D’Angeli Gianluca Pingitore Alessio Riccardi Valentina Vannini Alessandro Corsi Mara Riminucci Giovanni D’Erme |
| author_sort | Francesca Romana Federici |
| collection | DOAJ |
| description | Fungus ball (FB) is a non-invasive mycosis typically found in the paranasal sinuses, predominantly the maxillary sinus. This case report describes the diagnosis and treatment of a recurrent maxillary FB in a 58-year-old patient, managed through Functional Endoscopic Sinus Surgery (FESS) combined with an intraoral approach. The patient presented with chronic unilateral nasal obstruction and recurrent sinusitis, with imaging studies revealing a heterogeneous mass in the left maxillary sinus. Histopathological examination confirmed the presence of a fungal ball. FESS was utilized to ensure minimal invasiveness and precision in removing the fungal mass while preserving normal sinus anatomy. The intraoral approach facilitated the direct access to the maxillary sinus, to complete the debridement required after recurrence from the first line FESS treatment. Postoperative follow-up showed significant symptomatic relief and no recurrence of the fungal ball. This case highlights the efficacy of combining FESS with an intraoral approach in treating maxillary fungal balls recurrence, emphasizing the importance of a tailored surgical strategy to achieve optimal Results. The combined approach not only ensures complete removal of the fungal mass but also minimises complications and enhances patient recovery. |
| format | Article |
| id | doaj-art-44b4ce923e9e44e98af195a1b147b4ad |
| institution | Kabale University |
| issn | 1971-1441 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Publymed |
| record_format | Article |
| series | Annali di Stomatologia |
| spelling | doaj-art-44b4ce923e9e44e98af195a1b147b4ad2025-01-30T18:19:40ZengPublymedAnnali di Stomatologia1971-14412024-04-0115425025510.59987/ads/2024.4.250-255ads2404-250-255Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature reviewFrancesca Romana Federici0Giacomo D’Angeli1Gianluca Pingitore2Alessio Riccardi3Valentina Vannini4Alessandro Corsi5Mara Riminucci6Giovanni D’Erme7Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, ItalyDepartment of Molecular Medicine, Sapienza University of Rome, ItalyDepartment of Sense Organs, Sapienza University of Rome, ItalyFungus ball (FB) is a non-invasive mycosis typically found in the paranasal sinuses, predominantly the maxillary sinus. This case report describes the diagnosis and treatment of a recurrent maxillary FB in a 58-year-old patient, managed through Functional Endoscopic Sinus Surgery (FESS) combined with an intraoral approach. The patient presented with chronic unilateral nasal obstruction and recurrent sinusitis, with imaging studies revealing a heterogeneous mass in the left maxillary sinus. Histopathological examination confirmed the presence of a fungal ball. FESS was utilized to ensure minimal invasiveness and precision in removing the fungal mass while preserving normal sinus anatomy. The intraoral approach facilitated the direct access to the maxillary sinus, to complete the debridement required after recurrence from the first line FESS treatment. Postoperative follow-up showed significant symptomatic relief and no recurrence of the fungal ball. This case highlights the efficacy of combining FESS with an intraoral approach in treating maxillary fungal balls recurrence, emphasizing the importance of a tailored surgical strategy to achieve optimal Results. The combined approach not only ensures complete removal of the fungal mass but also minimises complications and enhances patient recovery.https://www.annalidistomatologia.eu/ads/article/view/364/356 |
| spellingShingle | Francesca Romana Federici Giacomo D’Angeli Gianluca Pingitore Alessio Riccardi Valentina Vannini Alessandro Corsi Mara Riminucci Giovanni D’Erme Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review Annali di Stomatologia |
| title | Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review |
| title_full | Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review |
| title_fullStr | Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review |
| title_full_unstemmed | Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review |
| title_short | Correlation between fungus ball of maxillary sinus and previous root canal therapy. Case report and narrative literature review |
| title_sort | correlation between fungus ball of maxillary sinus and previous root canal therapy case report and narrative literature review |
| url | https://www.annalidistomatologia.eu/ads/article/view/364/356 |
| work_keys_str_mv | AT francescaromanafederici correlationbetweenfungusballofmaxillarysinusandpreviousrootcanaltherapycasereportandnarrativeliteraturereview AT giacomodangeli correlationbetweenfungusballofmaxillarysinusandpreviousrootcanaltherapycasereportandnarrativeliteraturereview AT gianlucapingitore correlationbetweenfungusballofmaxillarysinusandpreviousrootcanaltherapycasereportandnarrativeliteraturereview AT alessioriccardi correlationbetweenfungusballofmaxillarysinusandpreviousrootcanaltherapycasereportandnarrativeliteraturereview AT valentinavannini correlationbetweenfungusballofmaxillarysinusandpreviousrootcanaltherapycasereportandnarrativeliteraturereview AT alessandrocorsi correlationbetweenfungusballofmaxillarysinusandpreviousrootcanaltherapycasereportandnarrativeliteraturereview AT marariminucci correlationbetweenfungusballofmaxillarysinusandpreviousrootcanaltherapycasereportandnarrativeliteraturereview AT giovanniderme correlationbetweenfungusballofmaxillarysinusandpreviousrootcanaltherapycasereportandnarrativeliteraturereview |