Basurrah Mohammed, Lee Il Hwan, Kim Do Hyun, Kim Sung Won, Kim Soo Whan
Department of Otolaryngology-Head and Neck Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Surgery, College of Medicine, Taif University, Taif, Kingdom of Saudi Arabia.
Ear Nose Throat J. 2023 Nov;102(11):727-732. doi: 10.1177/01455613211028470. Epub 2021 Jun 28.
We investigated the anatomical and dental factors associated with unilateral maxillary sinus fungal ball (MSFB). Also, we evaluated the effect of combinations of those factors on the incidence of MSFB.
Three hundred patients were divided into MSFB, normal, and chronic rhinosinusitis (CRS) groups. We reviewed paranasal computed tomography scans for the presence of deviated nasal septum, concha bullosa (CB), Haller cells, and various dental factors. Also, we measured the ethmoid infundibulum, maxillary natural ostium, and CB.
Maxillary sinus fungal ball showed a more significant association with CB compared to the other 2 groups (37%, < .05). The MSFB group had a lower rate of Haller cells than the normal group (10% vs 22%, respectively; < .05). Also, the MSFB group had a wider maxillary sinus ostium than the normal group (7.07 ± 1.8 vs 5.48 ± 1.3 mm; < .01). Moreover, the combination of CB and Haller cells was significantly associated with a decreased rate of the fungal ball ( = .047, odds ratio = 0.694). The dental factors were more prevalent in the MSFB and CRS groups (73% and 75%, respectively) than in the normal group (32%, < .001).
Maxillary sinus fungal ball is significantly associated with CB, Haller cells, an increased maxillary sinus ostium size, and dental factors.
我们研究了与单侧上颌窦真菌球（MSFB）相关的解剖学和牙齿因素。此外，我们评估了这些因素的组合对MSFB发病率的影响。
300名患者被分为MSFB组、正常组和慢性鼻窦炎（CRS）组。我们回顾了鼻窦计算机断层扫描，以检查鼻中隔偏曲、泡状鼻甲（CB）、Haller气房以及各种牙齿因素的存在情况。此外，我们测量了筛漏斗、上颌窦自然开口和CB。
与其他两组相比，上颌窦真菌球与CB的相关性更为显著（37%，P<0.05）。MSFB组的Haller气房发生率低于正常组（分别为10%和22%；P<0.05）。此外，MSFB组的上颌窦开口比正常组更宽（7.07±1.8对5.48±1.3mm；P<0.01）。此外，CB和Haller气房的组合与真菌球发生率的降低显著相关（P=0.047，比值比=0.694）。牙齿因素在MSFB组和CRS组（分别为73%和75%）中比正常组（32%）更普遍（P<0.001）。
上颌窦真菌球与CB、Haller气房、上颌窦开口增大以及牙齿因素显著相关。
