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Volume 6, Issue 1, June 2020, Page: 16-18
Sphenoid Sinus Fungal Ball, a Tertiary Hospital Experience
Ali Almomen, Otolaryngology Department, King Fahad Specialist Hospital, Dammam, Kingdom of Saudi Arabia
Hussain Albaharna, Otolaryngology Department, Qatif Central Hospital, Qatif, Kingdom of Saudi Arabia
Abdullah Al Shakhs, ENT Department, King Faisal University, Al-Hasa, Saudi Arabia
Mohammed Alfalah, ENT Department, King Faisal University, Al-Hasa, Saudi Arabia
Mohammed Al Saeed, ENT Department, Al-Baha University, Al-Baha, Saudi Arabia
Zahra Alabbad, ENT Department, King Faisal University, Al-Hasa, Saudi Arabia
Zainab Aljaziri, ENT Department, King Faisal University, Al-Hasa, Saudi Arabia
Received: Mar. 11, 2020;       Accepted: Mar. 25, 2020;       Published: Apr. 14, 2020
DOI: 10.11648/j.ijo.20200601.14      View  281      Downloads  54
Abstract
Objective: To present the different clinical manifestations and diagnostic strategies of isolated sphenoid sinus fungal ball (SSFB), in order to prevent delayed diagnosis and providing early management. Method: This study is a retrospective clinical study, conducted between January 2008 and November 2019. It was done in the ENT department of two institutes: King Fahad specialist Hospital and Qatif Central Hospital, Saudi Arabia. Only patients with sole involvement of fungal ball in the sphenoid sinus were included. Conclusions: The incidence of isolated sphenoid fungal ball is rare. However, it's clinically important because untreated SSFB can cause significant complications. The clinical features of SSFB are ambiguous and nonspecific which make its diagnosis more difficult. Post-nasal discharge and headache refractory to the medical management are the most common symptoms of isolated sphenoid sinus lesion. CT scan is still the cornerstone of radiological diagnosis of SSFB. Endoscopic sphenoidotomy and removal of fungal debris is the standard care of management. Post-operatively, the majority of patient had good results with no complication and recurrence.
Keywords
Sphenoid Sinus, Fungal Ball, Non-invasive Fungal Sinusitis, Endoscopy
To cite this article
Ali Almomen, Hussain Albaharna, Abdullah Al Shakhs, Mohammed Alfalah, Mohammed Al Saeed, Zahra Alabbad, Zainab Aljaziri, Sphenoid Sinus Fungal Ball, a Tertiary Hospital Experience, International Journal of Otorhinolaryngology. Vol. 6, No. 1, 2020, pp. 16-18. doi: 10.11648/j.ijo.20200601.14
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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