title: Functional endoscopic sinus surgery and 109 mycetomas of paranasal sinuses.
abstract: Mycetomas of paranasal sinuses are more frequently diagnosed with the widespread use of nasal endoscopy and computed tomography (CT). We present a series of 109 cases treated by functional endoscopic sinus surgery (FESS) with a mean follow-up of 29 months. All localizations were seen, and contrary to what was initially thought, seven cases presented in multiple sites. Several clinical presentations were found, from a pansinusal involvement to a simple mycetoma hanging in a superior meatus. A heterogeneous sinus opacity with microcalcifications on CT scan is very suggestive of the diagnosis, but a homogeneous opacity may be encountered even with bone lysis. FESS was performed in all cases to obtain a wide opening of the affected sinuses, permitting a careful extraction of all fungal material. In the postoperative period, no medical treatment is prescribed. With a mean follow-up of 29 months, only four recurrences were seen. This study reinforces the interest in FESS for cases of mycetoma of the paranasal sinuses.
authors.affiliation: Department of Otolarynology, Head and Neck Surgery, University Hospital, Poitier, France.
authors.forename: J M
authors.initials: JM
authors.lastname: Klossek
authors.forename: E
authors.initials: E
authors.lastname: Serrano
authors.forename: L
authors.initials: L
authors.lastname: Péloquin
authors.forename: J
authors.initials: J
authors.lastname: Percodani
authors.forename: J P
authors.initials: JP
authors.lastname: Fontanel
authors.forename: J J
authors.initials: JJ
authors.lastname: Pessey
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001228:Aspergillosis / Q000601:surgery; D001232:Aspergillus fumigatus; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000601:surgery*; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D010256:Paranasal Sinuses / Q000000981:diagnostic imaging; D012008:Recurrence; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome