Aspergillomas of the sphenoid sinus: a series of 10 cases treated by endoscopic sinus surgery

We report our experience with 10 cases of sphenoidal aspergillomas treated by endoscopic sinus surgery (ESS). Chronic symptoms such as cough, post-nasal discharge, dysphonia and even facial pain can be encountered in the history. Computerised tomography and, occasionally, magnetic resonance imaging...

Full description

Saved in:
Bibliographic Details
Published inRhinology Vol. 34; no. 3; p. 179
Main Authors Klossek, J M, Peloquin, L, Fourcroy, P J, Ferrie, J C, Fontanel, J P
Format Journal Article
LanguageEnglish
Published Netherlands 01.09.1996
Subjects
Aspergillosis - diagnosis
Aspergillosis - surgery
Aspergillus fumigatus
Endoscopy
Female
Follow-Up Studies
Humans
Male
Middle Aged
Paranasal Sinus Diseases - diagnosis
Paranasal Sinus Diseases - microbiology
Paranasal Sinus Diseases - surgery
Sphenoid Sinus
Time Factors
Online AccessGet more information

Cover

More Information
Summary:We report our experience with 10 cases of sphenoidal aspergillomas treated by endoscopic sinus surgery (ESS). Chronic symptoms such as cough, post-nasal discharge, dysphonia and even facial pain can be encountered in the history. Computerised tomography and, occasionally, magnetic resonance imaging are of great help in the assessment of this disease, especially when extensive skull base involvement is present. The radiological presentation can vary from an heterogeneous to homogeneous opacity with or without bone lysis to a frank pseudotumoural appearance. Four diagnostic tools have been evaluated to confirm the diagnosis: histology, direct smear, fungal cultures, and serology for Aspergillus. ESS has been successfully carried out without morbidity in all cases. No recurrence of the disease is seen after a mean follow-up of 27 months.
ISSN:0300-0729