Jang Hye-Bin, Lee Dong Hoon, Lim Sang Chul
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Hwasun Hospital, Hwasun, Republic of Korea.
Front Surg. 2024 Nov 1;11:1491155. doi: 10.3389/fsurg.2024.1491155. eCollection 2024.
We identified patients who initially did not have a maxillary sinus fungus ball on computed tomography (CT) but developed it on a subsequent CT scan. We assessed potential risk factors for developing a maxillary sinus fungus ball between the two scans.
This study included 35 patients with 38 lesions who initially had no maxillary sinus fungus balls on CT but were later diagnosed with the condition and underwent surgery.
We analyzed 38 lesions in 35 patients, each of whom had normal CT scan results initially but later developed a maxillary sinus fungus ball. No specific risk factors for developing a maxillary sinus fungus ball were identified. However, when compared to the maxillary sinusitis group, facial trauma and dental implant surgery appeared to be associated with maxillary sinus fungus ball formation ( < 0.05).
We investigated factors influencing the development of maxillary sinus fungus balls that were absent in previous CT scans and found no significant risk factors. Nonetheless, relative to the maxillary sinusitis (control) group, the maxillary sinus fungus ball group tended to have more previous facial trauma and dental implant surgery.
我们确定了那些在计算机断层扫描（CT）上最初没有上颌窦真菌球但在随后的CT扫描中出现该病症的患者。我们评估了两次扫描之间发生上颌窦真菌球的潜在风险因素。
本研究纳入了35例患者的38个病灶，这些患者最初在CT上没有上颌窦真菌球，但后来被诊断出患有该病症并接受了手术。
我们分析了35例患者的38个病灶，每位患者最初的CT扫描结果均正常，但后来都出现了上颌窦真菌球。未发现形成上颌窦真菌球的特定风险因素。然而，与鼻窦炎组相比，面部创伤和牙种植手术似乎与上颌窦真菌球的形成有关（<0.05）。
我们调查了在先前CT扫描中未出现的影响上颌窦真菌球形成的因素，未发现显著的风险因素。尽管如此，相对于鼻窦炎（对照）组，上颌窦真菌球组既往面部创伤和牙种植手术的发生率往往更高。
