Clinical Consideration of Fungal Paranasal Sinusitis
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- Okuni Tsuyoshi
- Muroran City Hospital Sapporo Medical University
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- Asakura Koji
- Muroran City Hospital
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- Homma Tomo
- Muroran City Hospital
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- Kawaguchi Ryuichi
- Takikawa ENT Clinic
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- Ishikawa Tadataka
- Ishikawa ENT Clinic
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- Yamazaki Norikazu
- Hakodate Goryokaku Hospital
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- Himi Tetsuo
- Sapporo Medical University
Bibliographic Information
- Other Title
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- 副鼻腔真菌症症例の検討
- リンショウ フクビクウ シンキンショウ ショウレイ ノ ケントウ
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Abstract
Fungal paranasal sinusitis is included in the differential diagnosis of unilateral paranasl lesion. Recently the incidence of fungal paranasal sinusitis has been increasing. We reviewed 24 patients (9 males and 15 females) with fungal paranasal sinusitis treated at Muroran City Hospital between January 2001 and May 2006, and clinical presentation and CT findings with those of 56 patients (36 males and 20 females) with chronic unilateral sinusitis. Fungal sinusitis patients ranged in age from 45 to 87, and the average age was 65.9 years old. In contrast, the age of chronic sinusitis patients ranged from 24 to 83, and the average age was 54.4 years old. The chief complaint of both fungal sinusitis and chronic sinusitis included rhinorrhea, nasal obstruction and post nasal discharge.<br>CT exam was performed in all patients. In 23 cases of paranasal fungal sinusitis and 54 cases of chronic sinusitis the findings involved the maxillary sinus. The most common observation (69.6%) was bone density within the affected sinus in fungal sinusitis. However, only 2 cases of chronic sinusitis (3.9%) showed calcification.<br>All cases of fungal sinusitis were diagnosed by pathological examinations. Most cases were proved to be aspergillus, while only one case was mucor. We treated all cases surgically, 18 cases underwent Caldwell-Luc's procedure and 5 cases underwent endoscopic sinus surgery under local anesthesia.
Journal
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- Practica Oto-Rhino-Laryngologica
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Practica Oto-Rhino-Laryngologica 101 (1), 21-28, 2008
The Society of Practical Otolaryngology
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Details 詳細情報について
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- CRID
- 1390282679240257664
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- NII Article ID
- 10020284459
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- NII Book ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL BIB ID
- 9323911
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed