Paranasal Sinus Fungus Ball: Retrospective Analysis of 37 Patients

Address for Correspondence: Mustafa Yazır E-mail: muyazir66@gmail.com Received: 13.02.2019 Accepted: 06.03.2019 DOI: 10.5152/ejra.2019.118 ©Copyright 2018 by Turkish Rhinologic Society Available online at www.eurjrhinol.org Abstract Objective: The aim of this study was to evaluate clinical characteristics and surgical outcomes of paranasal sinus fungus ball. Material and Methods: We retrospectively examined clinical records including clinical presentations, radiologic findings, management, and outcomes of fungus ball who underwent functional endoscopic surgery for treatment between 2008-2019. The patients demographic data, clinical presentations, radiological findings and surgical outcomes were analysed. Results: The patients ages ranged between 30 and 76 years, mean age was 55.2. Most common symptoms were headache and facial pain.On computed tomography, the most common finding was sclerosis in bony walls of the sinus (78.3%). Magnetic resonance imaging revealed a marked low intensity on T2 weighted images in all cases (100%). All patients were treated with functional endoscopic sinus surgery. Conclusion: Fungus ball should be considered in patients with unilateral nasal symptoms and unexplained headache and facial pain. Endoscopic sinus surgery is the treatment of choice in all cases.