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Sinus Mycetoma
Aparna Singhal, MDH. Christian Davidson, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Fungus ball, aspergilloma
              • Definitions

                • Chronic, noninvasive form of fungal sinus infection
                • Fungal colonization of material within sinus cavity

              IMAGING

              • General Features

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Lee DH et al: Computed tomography-based differential diagnosis of fungus balls in the maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol. 129(3):277-81, 2020
                                          2. Deutsch PG et al: Invasive and non-invasive fungal rhinosinusitis-a review and update of the evidence. Medicina (Kaunas). 55(7), 2019
                                          3. Huang Z et al: Predictive significance of radiographic density of sinus opacity and bone thickness in unilateral maxillary sinus mycetoma. ORL J Otorhinolaryngol Relat Spec. 81(2-3):111-20, 2019
                                          4. Chen JC et al: The significance of computed tomographic findings in the diagnosis of fungus ball in the paranasal sinuses. Am J Rhinol Allergy. 26(2):117-9, 2012
                                          5. Robey AB et al: The changing face of paranasal sinus fungus balls. Ann Otol Rhinol Laryngol. 118(7):500-5, 2009
                                          6. Daudia A et al: Advances in management of paranasal sinus aspergillosis. J Laryngol Otol. 122(4):331-5, 2008
                                          7. Palacios E et al: Sinonasal mycetoma. Ear Nose Throat J. 87(11):606-8, 2008
                                          8. Grosjean P et al: Fungus balls of the paranasal sinuses: a review. Eur Arch Otorhinolaryngol. 264(5):461-70, 2007
                                          9. deShazo RD et al: Criteria for the diagnosis of sinus mycetoma. J Allergy Clin Immunol. 99(4):475-85, 1997
                                          10. Som PM et al: Hypointense paranasal sinus foci: differential diagnosis with MR imaging and relation to CT findings. Radiology. 176(3):777-81, 1990
                                          11. Zinreich SJ et al: Fungal sinusitis: diagnosis with CT and MR imaging. Radiology. 169(2):439-44, 1988
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Fungus ball, aspergilloma
                                                      • Definitions

                                                        • Chronic, noninvasive form of fungal sinus infection
                                                        • Fungal colonization of material within sinus cavity

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Lee DH et al: Computed tomography-based differential diagnosis of fungus balls in the maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol. 129(3):277-81, 2020
                                                                                  2. Deutsch PG et al: Invasive and non-invasive fungal rhinosinusitis-a review and update of the evidence. Medicina (Kaunas). 55(7), 2019
                                                                                  3. Huang Z et al: Predictive significance of radiographic density of sinus opacity and bone thickness in unilateral maxillary sinus mycetoma. ORL J Otorhinolaryngol Relat Spec. 81(2-3):111-20, 2019
                                                                                  4. Chen JC et al: The significance of computed tomographic findings in the diagnosis of fungus ball in the paranasal sinuses. Am J Rhinol Allergy. 26(2):117-9, 2012
                                                                                  5. Robey AB et al: The changing face of paranasal sinus fungus balls. Ann Otol Rhinol Laryngol. 118(7):500-5, 2009
                                                                                  6. Daudia A et al: Advances in management of paranasal sinus aspergillosis. J Laryngol Otol. 122(4):331-5, 2008
                                                                                  7. Palacios E et al: Sinonasal mycetoma. Ear Nose Throat J. 87(11):606-8, 2008
                                                                                  8. Grosjean P et al: Fungus balls of the paranasal sinuses: a review. Eur Arch Otorhinolaryngol. 264(5):461-70, 2007
                                                                                  9. deShazo RD et al: Criteria for the diagnosis of sinus mycetoma. J Allergy Clin Immunol. 99(4):475-85, 1997
                                                                                  10. Som PM et al: Hypointense paranasal sinus foci: differential diagnosis with MR imaging and relation to CT findings. Radiology. 176(3):777-81, 1990
                                                                                  11. Zinreich SJ et al: Fungal sinusitis: diagnosis with CT and MR imaging. Radiology. 169(2):439-44, 1988