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Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach

Published online by Cambridge University Press:  07 February 2013

R Gupta  and
A K Gupta
R Gupta
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
A K Gupta*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
*
Address for correspondence: Dr A K Gupta, Department of Otolaryngology and Head and Neck Surgery (Unit II), PGIMER, Chandigarh 160012, India Fax: +91 172 2744401 E-mail: [email protected]
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Abstract

Background:

Frontal sinus involvement in aspergillosis associated with the nose and paranasal sinuses is a common occurrence, but the incidence of primary frontal sinus aspergillosis is rare, and there are few reports in the English literature.

Objective:

This study aimed to evaluate the role of the endonasal endoscopic surgical approach for isolated primary frontal sinus aspergillosis.

Method:

This paper describes a retrospective study of 16 cases of primary frontal sinus aspergillosis. The patients had presented to the out-patient services of the Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India, between January 1999 and July 2011.

Results:

The overall success rate of the endonasal endoscopic approach was 82.25 per cent. The disease recurred in three patients and was subsequently managed using the modified Lothrop procedure.

Conclusion:

Minimally invasive endonasal endoscopic sinus surgery was found to be an effective and a safe approach for managing primary frontal sinus aspergilloma, even in cases with larger bony defects involving the posterior table of the frontal sinus.

Keywords

Paranasal SinusesFrontal SinusAspergillosisDiagnosisEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 3 , March 2013 , pp. 274 - 278
Copyright
Copyright © JLO (1984) Limited 2013

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References

1Stevens, MH. Aspergillosis of the frontal sinus. Arch Otolaryngol 1978;104:153–6CrossRefGoogle ScholarPubMed
2Chen, H, Chen, TM. Isolated frontal sinus aspergillosis. Otolaryngol Head Neck Surg 2000;122:460–1CrossRefGoogle ScholarPubMed
3Swoboda, H, Ullrich, R. Aspergilloma in the frontal sinus expanding into the orbit. J Clin Pathol 1992;45:629–30CrossRefGoogle ScholarPubMed
4Warder, FR, Chikes, PG, Hudson, WR. Aspergillosis of the paranasal sinuses. Arch Otolaryngol 1975;101:683–5CrossRefGoogle ScholarPubMed
5Bhalla, D, Kumar, S, Pal, ND, Malhotra, V, Dhingra, PL. Aspergilloma of the frontal lobe. Acta Neurochir (Wien) 1980;55:135–9CrossRefGoogle ScholarPubMed
6Osborn, DA. Mycotic infection of the frontal sinus. J Laryngol Otol 1963;77:29–33CrossRefGoogle ScholarPubMed
7Gupta, KR, Udhayakumar, B, Rao, PB, Madhaven, M, Das Gupta, LR. Aspergilloma of the frontal bone. J Laryngol Otol 1973;87:1007–11CrossRefGoogle ScholarPubMed
8Panda, NK, Reddy, CEE. Primary frontal sinus aspergillosis: an uncommon occurrence. Mycoses 2005;48:235–7CrossRefGoogle ScholarPubMed
9Bent, JP, Kuhn, JA. Diagnosis of allergic fungal sinusitis. Otolaryngol Head Neck Surg 1994;111:580–8CrossRefGoogle ScholarPubMed
10Lund, VJ, Mackay, IS. Staging in rhinosinusitis. Rhinology 1993;107:183–4Google Scholar
11Rowe-Jones, J. Paranasal aspergillosis–a spectrum of disease. J Laryngol Otol 1993;107:773–4CrossRefGoogle ScholarPubMed
12Chakrabarti, A, Sharma, SC, Chander, J. Epidemiology and pathogenesis of paranasal sinus mycoses. Otolaryngol Head Neck Surg 1992;107:745–50CrossRefGoogle ScholarPubMed
13Milošev, B, el-Mahgoub, S, Aal, OA, el Hassan, AM. Primary aspergilloma of paranasal sinuses in the Sudan. A review of seventeen cases. Br J Surg 1969;56:132–7CrossRefGoogle Scholar
14Washburn, RG, Kennedy, DW, Begley, MG, Henderson, DK, Bennett, JE. Chronic fungal sinusitis in apparently normal hosts. Medicine (Baltimore) 1988;67:231–47CrossRefGoogle ScholarPubMed
15Sekula, J, Popielski, L, Betkowski, A. A case of aspergillosis involving the frontal sinus and orbit [in Polish]. Otolaryngol Pol 1981;35:365–9Google ScholarPubMed
16Gupta, AK, Ghosh, S, Gupta, AK. Sinonasal aspergillosis in immunocompetent Indian children: an eight-year experience. Mycoses 2003;46:455–61CrossRefGoogle ScholarPubMed
17Manning, SC, Merkel, M, Kriesel, K, Vuitch, F, Marple, B. Computed tomography and magnetic resonance diagnosis of allergic fungal sinusitis. Laryngoscope 1997;107:170–6CrossRefGoogle ScholarPubMed
18Corey, JP, Delsuphe, KG, Ferguson, BJ. Allergic fungal sinusitis: allergic, infectious or both? Otolaryngol Head Neck Surg 1995;113:110–19CrossRefGoogle ScholarPubMed
19Stammberger, H, Jakse, R, Beaufort, F. Aspergillosis of the paranasal sinuses x-ray diagnosis, histopathology, and clinical aspects. Ann Otol Rhinol Laryngol 1984;93:251–6CrossRefGoogle ScholarPubMed
20Kodama, S, Moriyama, M, Okamoto, T, Hirano, T, Suzuki, M. Isolated frontal sinus aspergillosis treated by endoscopic modified Lothrop procedure. Auris Nasus Larynx 2009;36:88–91CrossRefGoogle ScholarPubMed