Serrano E, Percodani J, Flores P, Dilem S, Pessey J J
Service d'ORL et de Chirurgie Cervico-Faciale, CHU de Rangueil, Toulouse.
Ann Otolaryngol Chir Cervicofac. 1996;113(2):86-91.
The authors report a retrospective study of 45 cases of paranasal sinus aspergillomas to justify the endonasal endoscopic approach and define its limitations. The maxillary form was found in 40 cases (89%). 61% of the patients had dental care in the past. Radiographically, calcifications were seen in 43% of the cases and heterogenous sinus opacification in 38% of the cases. Mycologic study was positive in 94% of the cases. Fungal hyphae were observed in 83% of the cases on pathologic examination. During the follow-up, 3 recurrences appeared. The following points are emphasized: predictive factors, diagnosis and the different surgical procedures and their respective indications.
作者报告了一项对45例鼻窦曲霉菌瘤的回顾性研究，以证明鼻内镜入路的合理性并明确其局限性。40例（89%）为上颌窦型。61%的患者过去接受过牙科治疗。影像学检查中，43%的病例可见钙化，38%的病例可见鼻窦不均匀混浊。真菌学研究94%的病例呈阳性。病理检查83%的病例观察到真菌菌丝。随访期间出现3例复发。强调了以下几点：预测因素、诊断以及不同的手术方法及其各自的适应证。
