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Isolated primary frontal sinus aspergillosis: role of endonasal endoscopic approach

Published online by Cambridge University Press:  07 February 2013

R Gupta  and
A K Gupta
R Gupta
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
A K Gupta*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
*
Address for correspondence: Dr A K Gupta, Department of Otolaryngology and Head and Neck Surgery (Unit II), PGIMER, Chandigarh 160012, India Fax: +91 172 2744401 E-mail: drashokpgi@hotmail.com
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Abstract

Background:

Frontal sinus involvement in aspergillosis associated with the nose and paranasal sinuses is a common occurrence, but the incidence of primary frontal sinus aspergillosis is rare, and there are few reports in the English literature.

Objective:

This study aimed to evaluate the role of the endonasal endoscopic surgical approach for isolated primary frontal sinus aspergillosis.

Method:

This paper describes a retrospective study of 16 cases of primary frontal sinus aspergillosis. The patients had presented to the out-patient services of the Department of Otolaryngology and Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India, between January 1999 and July 2011.

Results:

The overall success rate of the endonasal endoscopic approach was 82.25 per cent. The disease recurred in three patients and was subsequently managed using the modified Lothrop procedure.

Conclusion:

Minimally invasive endonasal endoscopic sinus surgery was found to be an effective and a safe approach for managing primary frontal sinus aspergilloma, even in cases with larger bony defects involving the posterior table of the frontal sinus.

Keywords

Paranasal SinusesFrontal SinusAspergillosisDiagnosisEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 3 , March 2013 , pp. 274 - 278
Copyright
Copyright © JLO (1984) Limited 2013

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