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Tomazic, PV; Dostal, E; Magyar, M; Lang-Loidolt, D; Wolf, A; Koele, W; Truschnegg, A; Stammberger, H; Payer, M.
Potential correlations of dentogenic factors to the development of clinically verified fungus balls: A retrospective computed tomography-based analysis.
Laryngoscope. 2016; 126(1):39-43
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Autor/innen der Med Uni Graz:
Köle Wolfgang
Lang-Loidolt Doris
Magyar Marton
Payer Michael
Stammberger Heinz
Tomazic Peter Valentin
Truschnegg Astrid
Wolf Axel
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Abstract:
Fungus balls are a common disease of the paranasal sinuses, usually involving the maxillary sinus. To clarify the pathology, we analyzed patients treated for maxillary sinus fungus balls to see whether the latter correlated with dentogenic factors. Retrospective case analysis. Cases of maxillary sinus fungus balls diagnosed between January 2000 and December 2013 were analyzed retrospectively. Patients' charts were reviewed for diagnosis, gender, and age. Paranasal sinus computed tomography (CT) scans were reviewed according to the side of the fungus ball, calcifications/opacifications, and dentogenic factors. In 98/102 patients (96.1%), 157 dentogenic factors could be identified on the side affected by a fungus ball. On the contralateral healthy side, there were 125 dentogenic factors. In four (3.9%) of the patients, no dentogenic pathology was identified on the CT scan. The presence of dentogenic factors (regardless of number) was significantly associated with a fungus ball compared to the healthy side (P = .024, χ(2) test, odds ratio: 2.72 [95% confidence interval: 1.02-7.23]). Dentogenic factors regardless of type potentially correlate with the presence of maxillary sinus fungus ball. Unlike the overall presence of dentogenic factors, the particular dentogenic factors in an individual patient do not significantly influence the development of fungus balls. After diagnosis of dentogenic pathology in penetrated maxillary sinus floors, patients should be closely monitored and informed about their higher risk of developing a fungus ball. © 2015 The American Laryngological, Rhinological and Otological Society, Inc.
Find related publications in this database (using NLM MeSH Indexing)
Aspergillosis - diagnostic imaging
Diagnosis, Differential -
Female -
Fungi - isolation & purification
Humans -
Male -
Maxillary Sinus - diagnostic imaging
Maxillary Sinus - microbiology
Middle Aged -
Paranasal Sinus Diseases - diagnostic imaging
Paranasal Sinus Diseases - microbiology
Retrospective Studies -
Tomography, X-Ray Computed - methods

Find related publications in this database (Keywords)
Fungus ball
maxillary sinus
dentogenic
calcifications
mycosis
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