{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:14:57Z","timestamp":1783664097104,"version":"3.55.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T00:00:00Z","timestamp":1691020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100003995","name":"Natural Science Foundation of Anhui Province","doi-asserted-by":"publisher","award":["1808085MH294"],"award-info":[{"award-number":["1808085MH294"]}],"id":[{"id":"10.13039\/501100003995","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To investigate the reason for fungal balls (FBs) being localized in paranasal sinuses, we analyzed the clinical presentations of patients with FB rhinosinusitis (FBS).\n                    <jats:bold>Methods:<\/jats:bold>\n                    Clinical data, anatomical variation (ie, nasal septal deviation, concha bullosa, and Haller cell), as well as measurements of nasal resistance (NR), nasal cavity volume (NCV), and nasal cross-sectional area (NCA) using active anterior rhinomanometry and acoustic rhinometry were collected from FBS patients hospitalized in our hospital between January 2021 and December 2022. A retrospective analysis was conducted using IBM SPSS 19.0 to perform the Shapiro\u2013Wilk test,\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    -test and logistic regression analysis.\n                    <jats:bold>Results:<\/jats:bold>\n                    A total of 95 FBS patients, including 33 male and 62 female patients, were included in this study. FBs in maxillary sinus were the most common (83, 87.4%), followed by sphenoid sinus (9, 9.5%). Logistic multivariate regression analysis revealed that a higher left-to-right NR ratio was associated with an increased likelihood of FBs being present in the left sinus [Odds ratios (OR) = 0.185; 95% CI, 0.061-0.558;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .01]. When the ratio of the left-to-right second-minimum NCA was higher and the FB was more in the right sinus (OR = 3.194; 95% CI, 1.593-6.405;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .001). Additionally, when the difference between left and right NCV was greater and FB occurred more commonly in the right sinus (OR = 1.435; 95% CI, 1.196-1.721;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; .001). Nonetheless, the presence of nasal septum deviation and concha bullosa did not significantly contribute to FB formation.\n                    <jats:bold>Conclusions and significance:<\/jats:bold>\n                    The differences in NR, NCA, and NCV between the affected and unaffected sides of nasal cavity are risk factors for the FB formation. To reduce FBS recurrence, it is important to focus on improving nasal ventilation during the surgical treatment.\n                  <\/jats:p>","DOI":"10.1177\/01455613231189953","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T07:05:19Z","timestamp":1691046319000},"page":"440-446","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Correlational Analysis of Nasal Resistance and Acoustic Rhinometry Measurements With the Localization of Fungus Balls in the Paranasal Sinuses"],"prefix":"10.1177","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0823-0850","authenticated-orcid":false,"given":"Tao","family":"Xu","sequence":"first","affiliation":[{"name":"Division of Life Sciences and Medicine, Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of USTC, University of Science and technology of China, Hefei, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin-Feng","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Life Sciences and Medicine, Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of USTC, University of Science and technology of China, Hefei, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-Lin","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Life Sciences and Medicine, Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of USTC, University of Science and technology of China, Hefei, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Tao","family":"Guo","sequence":"additional","affiliation":[{"name":"Division of Life Sciences and Medicine, Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of USTC, University of Science and technology of China, Hefei, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Luo","sequence":"additional","affiliation":[{"name":"Division of Life Sciences and Medicine, Department of Otorhinolaryngology Head and Neck Surgery, The First Affiliated Hospital of USTC, University of Science and technology of China, Hefei, Anhui, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,8,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/mmy.41.2.149.161"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/JCMA.0000000000000905"},{"issue":"29","key":"e_1_3_2_4_2","first-page":"1","article-title":"European position paper on rhinosinusitis and nasal polyps 2020","volume":"58","author":"Fokkens WJ","year":"2020","unstructured":"Fokkens WJ, Lund VJ, Hopkins C, et al. European position paper on rhinosinusitis and nasal polyps 2020. Rhinology. 2020;58(Suppl S29):1-464.","journal-title":"Rhinology"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.2500\/105065800779954446"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/731640"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.232.201"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2015.12.013"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1159\/000519213"},{"issue":"5","key":"e_1_3_2_10_2","first-page":"377","article-title":"Analysis of predisposing factors in unilateral maxillary sinus fungal ball: the predictive role of odontogenic and anatomical factors","volume":"60","author":"Doo JG","year":"2022","unstructured":"Doo JG, Min HK, Choi GW, et al. Analysis of predisposing factors in unilateral maxillary sinus fungal ball: the predictive role of odontogenic and anatomical factors. Rhinology. 2022;60(5):377-383.","journal-title":"Rhinology"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22007"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.4193\/Rhin17.084"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21438"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3181758174"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13071235"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900110031005"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.5114\/ada.2021.105361"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(00)80013-4"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20578"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/13693780500235728"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2017.01.014"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1053\/hn.1999.v120.a89436"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/21526567211036146"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215112001247"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-007-0281-5"},{"issue":"6","key":"e_1_3_2_26_2","article-title":"Odontogenic maxillary sinusitis and fungus ball development secondary to a dental root retained for more than 25 years. A case report","volume":"14","author":"Borras-Ferreres J","year":"2022","unstructured":"Borras-Ferreres J, Armengot-Carceller M, Gay-Escoda C. Odontogenic maxillary sinusitis and fungus ball development secondary to a dental root retained for more than 25 years. A case report. J Clin Exp Dent. 2022;14(6):e510-e513.","journal-title":"J Clin Exp Dent"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(00)80004-3"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2021.10699"},{"issue":"17","key":"e_1_3_2_29_2","first-page":"783","article-title":"The clinical characters and acoustic rhinometry analyses of 98 cases fugal ball sinusitis","volume":"25","author":"Yang X","year":"2011","unstructured":"Yang X, Lei K. The clinical characters and acoustic rhinometry analyses of 98 cases fugal ball sinusitis. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011;25(17):783-785.","journal-title":"Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(97)70126-8"},{"issue":"2","key":"e_1_3_2_31_2","article-title":"Endonasal endoscopic surgery with combined middle and inferior meatal antrostomies for fungal maxillary sinusitis","volume":"129","author":"Sawatsubashi M","year":"2015","unstructured":"Sawatsubashi M, Murakami D, Umezaki T, et al. Endonasal endoscopic surgery with combined middle and inferior meatal antrostomies for fungal maxillary sinusitis. J Laryngol Otol. 2015;129(Suppl 2):S52-S55.","journal-title":"J Laryngol Otol"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102541"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000004379"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613231189953","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613231189953","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613231189953","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T05:29:48Z","timestamp":1783661388000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613231189953"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,3]]},"references-count":32,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/01455613231189953"],"URL":"https:\/\/doi.org\/10.1177\/01455613231189953","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,3]]}}}