Endoscopic modified medial maxillectomy for fungal ball of the hypoplastic maxillary sinus with bony hypertrophy

Kazuhiro Nomura, Hiroyuki Ikushima, Daiki Ozawa, Yuichi Shimizu, Kazuya Arakawa, Jun Suzuki, Hiroshi Hidaka, Yukio Katori, Kenji Ohyama

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Sinus fungal ball is defined as noninvasive chronic rhinosinusitis with a clump of mold in the paranasal sinuses, typically affecting the maxillary sinus. Fairly good outcomes of endoscopic surgery have been reported where the ball is removed through the antrostomy. However, the affected sinus tends to have a smaller cavity and thicker bony walls. As such, it is often challenging to maintain a window size that is sufficient to control possible recurrence. The endoscopic modified medial maxillectomy procedure was applied to a 61-year old and a 70-year old female patient with maxillary sinus fungal ball. Using this method, we created a much larger inferior meatal antrostomy without difficulty. The window provided us with an endoscopic view of the whole sinus and complete eradication of the lesion. Endoscopic modified medial maxillectomy is useful as a surgical procedure for maxillary sinus fungal ball and should be considered for better outcomes.

Original languageEnglish
Pages (from-to)e304-e307
JournalJournal of Craniofacial Surgery
Volume29
Issue number3
DOIs
Publication statusPublished - 2018 May

Keywords

  • Approach
  • Fungal ball
  • Fungus
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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