{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T14:44:45Z","timestamp":1783003485422,"version":"3.54.5"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>We identified patients who initially did not have a maxillary sinus fungus ball on computed tomography (CT) but developed it on a subsequent CT scan. We assessed potential risk factors for developing a maxillary sinus fungus ball between the two scans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and methods<\/jats:title><jats:p>This study included 35 patients with 38 lesions who initially had no maxillary sinus fungus balls on CT but were later diagnosed with the condition and underwent surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We analyzed 38 lesions in 35 patients, each of whom had normal CT scan results initially but later developed a maxillary sinus fungus ball. No specific risk factors for developing a maxillary sinus fungus ball were identified. However, when compared to the maxillary sinusitis group, facial trauma and dental implant surgery appeared to be associated with maxillary sinus fungus ball formation (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We investigated factors influencing the development of maxillary sinus fungus balls that were absent in previous CT scans and found no significant risk factors. Nonetheless, relative to the maxillary sinusitis (control) group, the maxillary sinus fungus ball group tended to have more previous facial trauma and dental implant surgery.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2024.1491155","type":"journal-article","created":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T06:10:24Z","timestamp":1730441424000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors affecting the occurrence of maxillary sinus fungus ball"],"prefix":"10.3389","volume":"11","author":[{"given":"Hye-Bin","family":"Jang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Hoon","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Chul","family":"Lim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,11,1]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1080\/13693780500235728","article-title":"Paranasal sinus fungus ball: epidemiology, clinical features and diagnosis. A retrospective analysis of 173 cases from a single medical center in France, 1989\u20132002","volume":"44","author":"Dufour","year":"2006","journal-title":"Med Mycol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"23","DOI":"10.4274\/tao.2022.2021-11-8","article-title":"Paranasal sinus fungus ball, anatomical variations and dental pathologies: is there any relation?","volume":"60","author":"\u015eahin","year":"2022","journal-title":"Turk Arch Otorhinolaryngol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1016\/j.amjoto.2019.06.006","article-title":"Fungus ball of the maxillary sinus: retrospective study of 48 patients and review of the literature","volume":"40","author":"Costa","year":"2019","journal-title":"Am J Otolaryngol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1177\/01455613211028470","article-title":"Anatomical variations associated with maxillary Sinus fungal ball","volume":"102","author":"Basurrah","year":"2023","journal-title":"Ear Nose Throat J"},{"key":"B5","doi-asserted-by":"publisher","first-page":"524","DOI":"10.1016\/j.anl.2015.12.013","article-title":"Analysis of sinonasal anatomical variations associated with maxillary sinus fungal balls","volume":"43","author":"Shin","year":"2016","journal-title":"Auris Nasus Larynx"},{"key":"B6","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1016\/j.otohns.2005.10.009","article-title":"The role of ostiomeatal complex obstruction in maxillary fungus ball","volume":"134","author":"Tsai","year":"2006","journal-title":"Otolaryngol Head Neck Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1111\/pin.12790","article-title":"A fungal ball within a maxillary sinus with dental root canal filler and rare fungal propagules","volume":"69","author":"Kimura","year":"2019","journal-title":"Pathol Int"},{"key":"B8","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/j.tripleo.2006.08.014","article-title":"Risk of maxillary fungus ball in patients with endodontic treatment on maxillary teeth: a case-control study","volume":"103","author":"Mensi","year":"2007","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod"},{"key":"B9","doi-asserted-by":"publisher","first-page":"e176","DOI":"10.1097\/SCS.0b013e31824de185","article-title":"Maxillary fungus ball caused by retained foreign bodies for 25 years","volume":"23","author":"Lee","year":"2012","journal-title":"J Craniofac Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1016\/j.oooo.2019.08.008","article-title":"Computed tomography-based differential diagnosis of fungus balls in the maxillary sinus","volume":"129","author":"Lee","year":"2020","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2024.1491155\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T06:10:25Z","timestamp":1730441425000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2024.1491155\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":10,"alternative-id":["10.3389\/fsurg.2024.1491155"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2024.1491155","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,1]]},"article-number":"1491155"}}