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Endonasal endoscopic surgery with combined middle and inferior meatal antrostomies for fungal maxillary sinusitis

Published online by Cambridge University Press:  23 February 2015

M Sawatsubashi ,
D Murakami ,
T Umezaki  and
S Komune
M Sawatsubashi*
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
D Murakami
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
T Umezaki
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
S Komune
Affiliation:
Department of Otorhinolaryngology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
*
Address for correspondence: Motohiro Sawatsubashi, Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-Ku, Fukuoka 812-8582, Japan Fax:+81 92 642 5685 E-mail: motohiro@qent.med.kyushu-u.ac.jp
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Abstract

Objective:

The purpose of this study was to evaluate the effectiveness of the combination of inferior and middle meatal antrostomies for treatment of a maxillary sinus fungus ball by functional endoscopic sinus surgery.

Methods:

A retrospective analysis including 28 patients with non-invasive fungal maxillary sinusitis was performed. Fourteen patients underwent FESS with both middle and inferior meatal antrostomies (combined group). The remaining 14 patients were treated with FESS through only the middle meatal antrostomy (control group).

Results:

Post-operative computed tomography showed normal maxillary sinuses in all patients in the combined group. In contrast, in the control group, five patients (36 per cent) exhibited a normal maxillary sinus, seven (50 per cent) showed maxillary mucosal thickening and two (14 per cent) had persistent fungus balls in the maxillary sinus.

Conclusion:

FESS with a combination of middle and inferior meatal antrostomies proved more effective for treating fungal maxillary sinusitis.

Keywords

FungusEndoscopic Surgical ProcedureNasal CavityComputed TomogrphyMaxillary Sinusitis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue S2 , March 2015 , pp. S52 - S55
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

This study was partly presented at the 50th Annual Meeting of the Japan Rhinologic Society, 2 December 2011, Okayama, Japan.

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