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不同孤立性上颌窦真菌病的内镜治疗:一家三级医院的病例系列

Endoscopic management to different isolated maxillary fungal pathologies: case series of a tertiary hospital.

作者信息

Alabdulaal Maria, Almuhanna Zahraa, Alfaleh Moath, Saeed Ghadeer Bu, Alsaid Abdullah, Almomen Ali

机构信息

College of Medicine, Arabian Gulf University, Manama 1000, Bahrain.

Department of Otolaryngology-Head and Neck Surgery, King Fahd Hospital of the University, Al-Khobar 34445, Saudi Arabia.

出版信息

J Surg Case Rep. 2025 Jan 23;2025(1):rjaf017. doi: 10.1093/jscr/rjaf017. eCollection 2025 Jan.

DOI:10.1093/jscr/rjaf017
PMID:39867983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11757163/
Abstract

Isolated maxillary fungal pathologies involve a variety of clinical entities. These include invasive and non-invasive variants, where each has a unique pathogenesis, clinical manifestation, and approach for management. The aim of this case series is to investigate the several ways that fungal infections of the maxillary sinus might present, with the approach to diagnose and manage these conditions. Several discrete maxillary fungal diseases were studied, including fungal ball, acute fulminant invasive fungal sinusitis, allergic fungal sinusitis, and chronic invasive fungal sinusitis at a hospital. For every condition, several treatment options, clinical manifestations, and diagnostic strategies were investigated, which are greatly influenced by the degree of invasiveness as well as the patient's immunological status. Optimizing patient outcomes, especially in more aggressive types of the disease, requires an early and proper diagnosis. Understanding the various symptoms of these fungal infections is critical for a timely management.

摘要

孤立性上颌骨真菌病涉及多种临床类型。这些包括侵袭性和非侵袭性变体,每种变体都有独特的发病机制、临床表现和治疗方法。本病例系列的目的是研究上颌窦真菌感染可能出现的几种方式,以及诊断和管理这些病症的方法。在一家医院对几种不同的上颌骨真菌病进行了研究,包括真菌球、急性暴发性侵袭性真菌性鼻窦炎、变应性真菌性鼻窦炎和慢性侵袭性真菌性鼻窦炎。对于每种病症,研究了几种治疗选择、临床表现和诊断策略,这些都受到侵袭程度以及患者免疫状态的极大影响。优化患者的治疗效果,尤其是在疾病更具侵袭性的类型中,需要早期和正确的诊断。了解这些真菌感染的各种症状对于及时治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/61f2804eb849/rjaf017f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/05bca3d7c190/rjaf017f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/d91ff25ef614/rjaf017f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/7cd3b8a43b58/rjaf017f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/e501e938ee5d/rjaf017f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/243255975087/rjaf017f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/9436961fb802/rjaf017f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/190ce9ab50ad/rjaf017f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/61f2804eb849/rjaf017f8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/05bca3d7c190/rjaf017f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/d91ff25ef614/rjaf017f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/7cd3b8a43b58/rjaf017f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/e501e938ee5d/rjaf017f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/243255975087/rjaf017f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/9436961fb802/rjaf017f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/190ce9ab50ad/rjaf017f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7978/11757163/61f2804eb849/rjaf017f8.jpg

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本文引用的文献

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Chronic Granulomatous Invasive Fungal Sinusitis in Patients With Immunocompetence: A Review.免疫功能正常患者的慢性肉芽肿性侵袭性真菌性鼻窦炎:综述
Otolaryngol Head Neck Surg. 2023 Apr;168(4):669-680. doi: 10.1177/01945998221097006. Epub 2023 Feb 5.
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Maxillary fungus ball in a diabetic patient. An odontogenic origin.糖尿病患者上颌真菌球。牙源性来源。
Ann Ital Chir. 2020 Jul 24;9:S2239253X20033174.
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Isolated fronto-ethmoidal allergic fungal rhinosinusitis: case report and review of the literature.孤立性额窦-筛窦过敏性真菌性鼻-鼻窦炎:病例报告及文献复习
Acta Biomed. 2019 Dec 23;90(4):563-567. doi: 10.23750/abm.v90i4.7832.
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Maxillary Fungal Osteomyelitis: A Review of Literature and Report of a Rare Case.上颌骨真菌性骨髓炎:文献综述及1例罕见病例报告
Ann Maxillofac Surg. 2019 Jan-Jun;9(1):168-173. doi: 10.4103/ams.ams_218_18.
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Fungus ball of the maxillary sinus: Retrospective study of 48 patients and review of the literature.上颌窦真菌球:48 例患者的回顾性研究及文献复习。
Am J Otolaryngol. 2019 Sep-Oct;40(5):700-704. doi: 10.1016/j.amjoto.2019.06.006. Epub 2019 Jun 15.
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Diagnosis of a maxillary sinus fungus ball without intralesional hyperdensity on computed tomography.计算机断层扫描显示上颌窦真菌球无病灶内高密度影的诊断。
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