Garofalo Pietro, Griffa Alessandro, Dumas Georges, Perottino Flavio
ENT Department, University of Piemonte Orientale, Novara, Italy.
ENT Department, Centre Hospitalier "Les Escartons", Briançon, France.
Int J Otolaryngol. 2016;2016:4169523. doi: 10.1155/2016/4169523. Epub 2016 Dec 19.
Fungus ball of maxillary sinus generally affects immunocompetent and nonatopic subjects. Although endoscopic removal is the current gold standard treatment, removal is at times difficult due to an accumulation of fungal elements in the anterior ad inferior recesses. . To present our experience of maxillary fungus ball treated by the "gauze technique" that avoids these removal difficulties. . A retrospective, cross-sectional, and descriptive study of 25 patients affected by maxillary fungus ball was carried out: 19 were treated by the "gauze technique" and 6 were treated without "gauze technique." . A comparison was made between the two groups for surgery procedure time, length of hospitalization, time from surgery to nasal unpacking, complications, and postsurgical patient satisfaction. The only statistically significant difference observed was a shorter surgical procedure time ( < 0.05) for the "gauze technique." . The data obtained in this study demonstrated that the "gauze technique" is a safe, simple, and quick technique, able to reduce surgery procedure time whilst providing excellent functional outcomes and patient satisfaction.
上颌窦真菌球通常影响免疫功能正常且无特应性的个体。尽管内镜下切除是目前的金标准治疗方法，但由于真菌成分在前部和下部隐窝积聚，有时切除会很困难。本文旨在介绍我们采用“纱布技术”治疗上颌窦真菌球的经验，该技术可避免这些切除困难。我们对25例上颌窦真菌球患者进行了一项回顾性、横断面描述性研究：19例采用“纱布技术”治疗，6例未采用“纱布技术”治疗。对两组患者的手术时间、住院时间、术后鼻腔拆线时间、并发症及术后患者满意度进行了比较。观察到的唯一具有统计学意义的差异是“纱布技术”组的手术时间较短（<0.05）。本研究获得的数据表明，“纱布技术”是一种安全、简单、快速的技术，能够减少手术时间，同时提供良好的功能效果和患者满意度。
