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Surgical treatment of Aspergillus mycetomas of the maxillary sinus: review of the literature.

Abstract

The present study reviews the literature concerning the surgical treatment of Aspergillus mycetoma (AM) in the last 20 years to identify a gold standard surgical technique. Aspergillus mycetoma of the maxillary sinus, or mycetoma (fungus ball), is a noninvasive or extramucosal mycotic infection. Surgical removal of the sinus fungal masses to ensure drainage and aeration is performed using the traditional Caldwell-Luc (CL) procedure or endoscopic sinus surgery (ESS). Results of this review suggest that the gold standard surgical technique for AM is ESS with middle meatal antrostomy. General or local antifungal drugs are not indicated. Combined approach with an intraoral surgical access from the anterolateral wall of the maxillary sinus has to be reserved for selected cases in which ESS doesn't permit complete extraction of all fungal concretions or foreign bodies. The CL procedure should be avoided, because it has detrimental consequences for sinus physiology.

Authors+Show Affiliations

Department of Maxillofacial Surgery, Azienda Ospedaliero Universitaria, Faculty of Medicine, University of Udine, Udine, Italy. maxil2@med.uniud.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17449289

Citation

Costa, Fabio, et al. "Surgical Treatment of Aspergillus Mycetomas of the Maxillary Sinus: Review of the Literature." Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, vol. 103, no. 6, 2007, pp. e23-9.
Costa F, Polini F, Zerman N, et al. Surgical treatment of Aspergillus mycetomas of the maxillary sinus: review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(6):e23-9.
Costa, F., Polini, F., Zerman, N., Robiony, M., Toro, C., & Politi, M. (2007). Surgical treatment of Aspergillus mycetomas of the maxillary sinus: review of the literature. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 103(6), e23-9.
Costa F, et al. Surgical Treatment of Aspergillus Mycetomas of the Maxillary Sinus: Review of the Literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(6):e23-9. PubMed PMID: 17449289.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical treatment of Aspergillus mycetomas of the maxillary sinus: review of the literature. AU - Costa,Fabio, AU - Polini,Francesco, AU - Zerman,Nicoletta, AU - Robiony,Massimo, AU - Toro,Corrado, AU - Politi,Massimo, Y1 - 2007/04/20/ PY - 2006/10/13/received PY - 2006/11/17/revised PY - 2006/12/15/accepted PY - 2007/4/24/pubmed PY - 2007/6/15/medline PY - 2007/4/24/entrez SP - e23 EP - 9 JF - Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics JO - Oral Surg Oral Med Oral Pathol Oral Radiol Endod VL - 103 IS - 6 N2 - The present study reviews the literature concerning the surgical treatment of Aspergillus mycetoma (AM) in the last 20 years to identify a gold standard surgical technique. Aspergillus mycetoma of the maxillary sinus, or mycetoma (fungus ball), is a noninvasive or extramucosal mycotic infection. Surgical removal of the sinus fungal masses to ensure drainage and aeration is performed using the traditional Caldwell-Luc (CL) procedure or endoscopic sinus surgery (ESS). Results of this review suggest that the gold standard surgical technique for AM is ESS with middle meatal antrostomy. General or local antifungal drugs are not indicated. Combined approach with an intraoral surgical access from the anterolateral wall of the maxillary sinus has to be reserved for selected cases in which ESS doesn't permit complete extraction of all fungal concretions or foreign bodies. The CL procedure should be avoided, because it has detrimental consequences for sinus physiology. SN - 1528-395X UR - https://www.unboundmedicine.com/medline/citation/17449289/Surgical_treatment_of_Aspergillus_mycetomas_of_the_maxillary_sinus:_review_of_the_literature_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1079-2104(06)01011-0 DB - PRIME DP - Unbound Medicine ER -