Gauze-assisted technique in endoscopic removal of fungus balls of the maxillary sinus

Am J Rhinol. 2006 Jul-Aug;20(4):417-20. doi: 10.2500/ajr.2006.20.2872.

Abstract

Background: The aim of this study was to establish and evaluate a newly developed gauze-assisted technique in complete removal of fungus balls of the maxillary sinus with usual instruments of endoscopic sinus surgery.

Methods: Fifteen adults with fungus balls of the maxillary sinus were collected. A newly developed surgical technique that involves the replacement of the fungus balls with the gauze strip was applied. The number of course and duration of this procedure were recorded.

Results: The fungal material was removed with less than two courses of this procedure in these patients. The duration of this procedure ranged from 2 to 5 minutes with an average of 4 minutes. Postoperatively, these patients had been followed for 16-50 months with an average of 29 months. Neither recurrence nor complication was noted.

Conclusion: With the excellent results, we strongly suggest this easy and timesaving technique in the management of such patients.

MeSH terms

  • Adult
  • Aged
  • Endoscopy / methods*
  • Female
  • Humans
  • Male
  • Maxillary Sinus / microbiology
  • Maxillary Sinus / surgery*
  • Middle Aged
  • Mycetoma / diagnosis
  • Mycetoma / surgery*
  • Paranasal Sinus Diseases / diagnosis
  • Paranasal Sinus Diseases / microbiology
  • Paranasal Sinus Diseases / surgery*