title: Fungus ball of the paranasal sinuses: Analysis of our serie of patients.
abstract: OBJECTIVE
  The fungus ball is the most frequent type of fungal rhino-sinusitis. The objective of this study is to analyze the clinical and surgical features of our patients.
  
  
  METHODS
  Retrospective analysis of 35 patients with fungus ball treated in our centre between 2006 and 2014.
  
  
  RESULTS
  Mean age was 55 years old. 49% were men and 51% women. 75% involved the maxillary sinus, whereas 25% involved the sphenoid. 69% of our patients showed microcalcifications in the CT study. All the patients were surgically treated, with no cases of recurrence.
  
  
  CONCLUSIONS
  Clinical manifestations of fungus ball are non-specific, therefore endoscopy and image study are mandatory. The definitive diagnosis is made by histopathological study of the lesion. Endoscopic sinus surgery is the treatment of choice, with opening of the diseased sinus and complete removal of the fungus ball. The frequency of complications is very low. No oral or topical antimycotic treatments are necessary.
authors.affiliation: Sección de Rinología, Servicio de Otorrinolaringología, Hospital de la Santa Creu i de Sant Pau , Barcelona , España. Electronic address: lopgros@gmail.com.
authors.forename: Joan
authors.initials: J
authors.lastname: Lop-Gros
authors.affiliation: Sección de Rinología, Servicio de Otorrinolaringología, Hospital de la Santa Creu i de Sant Pau , Barcelona , España.
authors.forename: Juan R
authors.initials: JR
authors.lastname: Gras-Cabrerizo
authors.affiliation: Sección de Rinología, Servicio de Otorrinolaringología, Hospital de la Santa Creu i de Sant Pau , Barcelona , España.
authors.forename: Carolina
authors.initials: C
authors.lastname: Bothe-González
authors.affiliation: Sección de Rinología, Servicio de Otorrinolaringología, Hospital de la Santa Creu i de Sant Pau , Barcelona , España.
authors.forename: Juan R
authors.initials: JR
authors.lastname: Montserrat-Gili
authors.affiliation: Sección de Rinología, Servicio de Otorrinolaringología, Hospital de la Santa Creu i de Sant Pau , Barcelona , España.
authors.forename: Anna
authors.initials: A
authors.lastname: Sumarroca-Trouboul
authors.affiliation: Sección de Rinología, Servicio de Otorrinolaringología, Hospital de la Santa Creu i de Sant Pau , Barcelona , España.
authors.forename: Humbert
authors.initials: H
authors.lastname: Massegur-Solench
mesh_terms: D000328:Adult; D002114:Calcinosis / Q000000981:diagnostic imaging; D004724:Endoscopy; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015523:Maxillary Sinusitis / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery; D008875:Middle Aged; D009181:Mycoses / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery; D015524:Sphenoid Sinusitis / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
keywords: Enfermedades fúngicas; Fungus diseases; Micetoma; Mycetoma; Sinusitis