Structured Abstract
Aims: This article describes the report of a rare case of
fungal ball in the frontal sinus in an adult male and discuss about the
variables of this condition related to the patient. Additionally, this
study aims to identify the state of the art of fungal ball in paranasal
sinuses, especially in the frontal sinus. Method: We performed
a literature review on fungal ball in the paranasal sinuses and
described a rare case of fungal ball in the frontal sinus, which is
listed as the paranasal sinus most rarely affected by fungal
ball.Result: All reported cases of fungus ball in the frontal
sinus affected male patients, contrary to the common prevalence of
females in fungal ball of the other paranasal sinuses. Of the total of 8
patients with fungal ball in the frontal sinus reported, 40% had
unilateral disease and 60% bilateral, also contrary to the incidence
data of the other paranasal sinuses, with unilateral prevalence.
However, with the present study, this index changes, with 50%
unilateral and 50% bilateral in frontal sinus involvement. The average
age of cases reported in the frontal sinus is 65.29 years, with a
minimum age of 61.16 and a maximum of 69 years. As for the etiologic
agent, Aspergillus sp. ,the endonasal endoscopic therapeutic
approach corresponded to 80% of cases, while frontal osteoplasty
accounted for 20% of cases, reaffirming this prevalence data from other
studies.Conclusion: Despite being alow incidence entity, frontal
sinus fungal ball should be considered in patients with pain in the
frontal region refractory to the usual clinical treatments.We hope to
contribute to the knowledge of this presentation as a differential
diagnosis and reinforce the importance of thorough clinical
investigation.
Keywords: Aspergillus fumigatus; Infectious
Diseases;Rhinosinusitis and Complications; Paranasal Sinus Diseases;
Transanal Endoscopic Surgery .