{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:42:55Z","timestamp":1740166975347,"version":"3.37.3"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,1,27]],"date-time":"2022-01-27T00:00:00Z","timestamp":1643241600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The sinus fungus ball is an agglomeration of debris and hyphae, mainly caused by Aspergillus fumigatus, within the paranasal sinus, commonly affecting a single sinus, and it only rarely affects the frontal sinus.<\/jats:p><jats:p>\n          Objective\u2003To identify the state of the art of fungus ball in paranasal sinuses, especially related to the epidemiology of the disease in the frontal sinus. Additionally, this article reports a rare case of fungus ball in the frontal sinus in an adult male, and discusses the variables of this condition related to the patient.<\/jats:p><jats:p>\n          Data Synthesis\u2003All of the 8 cases of fungus ball in the frontal sinus reported in this study affected male patients: 40% had unilateral disease, and 60%, bilateral disease, contrary to the incidence data of fungus ball in the other paranasal sinuses, which reports unilateral prevalence. However, in the present study, this index changes, with 50% of unilateral and 50% of bilateral incidence regarding frontal sinus involvement. The average age of the patients was 65.36 years (range: 60-74 years). The etiologic agent was Aspergillus spp., and the endonasal endoscopic therapeutic approach corresponded to 80% of cases, while frontal osteoplasty accounted for 20% of cases, reaffirming the prevalence data from other studies.<\/jats:p><jats:p>\n          Conclusion\u2003Despite being a low-incidence entity, frontal sinus fungus ball should be considered in patients with pain in the frontal region refractory to the usual clinical treatments.<\/jats:p>","DOI":"10.1055\/s-0041-1740598","type":"journal-article","created":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T01:13:21Z","timestamp":1643332401000},"page":"e738-e743","source":"Crossref","is-referenced-by-count":0,"title":["Rare Presentations of Frontal Sinus Fungus Ball: A Systematic Review"],"prefix":"10.1055","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4194-0069","authenticated-orcid":false,"given":"B\u00e1rbara Okabaiasse","family":"Luizeti","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculdade de Medicina, Universidade Cesumar, Maring\u00e1, Paran\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7116-6428","authenticated-orcid":false,"given":"Lesley Ane Roks de","family":"Lima","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculdade de Medicina, Universidade Cesumar, Maring\u00e1, Paran\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6644-6844","authenticated-orcid":false,"given":"Jonas Willian","family":"Spies","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de of S\u00e3o Paulo (FMRP-USP), Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"},{"name":"Associa\u00e7\u00e3o Brasileira de Otorrinolaringologia e Cirurgia C\u00e9rvico-Facial (ABORL-CCF), S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9761-695X","authenticated-orcid":false,"given":"Guilherme Constante Preis","family":"Sella","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculdade de Medicina, Universidade Cesumar, Maring\u00e1, Paran\u00e1, Brazil"},{"name":"Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Faculdade de Medicina de Ribeir\u00e3o Preto, Universidade de of S\u00e3o Paulo (FMRP-USP), Ribeir\u00e3o Preto, S\u00e3o Paulo, Brazil"},{"name":"Associa\u00e7\u00e3o Brasileira de Otorrinolaringologia e Cirurgia C\u00e9rvico-Facial (ABORL-CCF), S\u00e3o Paulo, S\u00e3o Paulo, Brazil"},{"name":"Academia Brasileira de Cirurgia Pl\u00e1stica da Face (ABCPF), S\u00e3o Paulo, S\u00e3o Paulo, 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