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Functional Endoscopic Sinus Surgery and 109 Mycetomas of Paranasal Sinuses
Author(s) -
Klossek JeanMichel,
Serrano Elie,
Péloquin Louis,
Percodani Josiane,
Fontanel JeanPierre,
Pessey JeanJacques
Publication year - 1997
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/00005537-199701000-00021
Subject(s) - paranasal sinuses , medicine , functional endoscopic sinus surgery , sinus (botany) , meatus , paranasal sinus diseases , surgery , radiology , endoscopy , homogeneous , sinusitis , botany , biology , genus , physics , thermodynamics
Mycetomas of paranasal sinuses are more frequently diagnosed with the widespread use of nasal endoscopy and computed tomography (CT). We present a series of 109 cases treated by functional endoscopic sinus surgery (FESS) with a mean follow‐up of 29 months. All localizations were seen, and contrary to what was initially thought, seven cases presented in multiple sites. Several clinical presentations were found, from a pansinusal involvement to a simple mycetoma hanging in a superior meatus. A heterogeneous sinus opacity with microcalcifications on CT scan is very suggestive of the diagnosis, but a homogeneous opacity may be encountered even with bone lysis. FESS was performed in all cases to obtain a wide opening of the affected sinuses, permitting a careful extraction of all fungal material. In the postoperative period, no medical treatment is prescribed. With a mean follow‐up of 29 months, only four recurrences were seen. This study reinforces the interest in FESS for cases of mycetoma of the paranasal sinuses.