dc.creator | Saibene, Alberto Maria | es |
dc.creator | Allevi, Fabiana | es |
dc.creator | Calvo Henriquez, Christian | es |
dc.creator | Dauby, Nicolas | es |
dc.creator | Dondossola, Daniele | es |
dc.creator | Hervochon, Rémi | es |
dc.creator | Maza Solano, Juan Manuel | es |
dc.creator | Sowerby, Leigh | es |
dc.date.accessioned | 2023-06-02T14:49:26Z | |
dc.date.available | 2023-06-02T14:49:26Z | |
dc.date.issued | 2022-09-23 | |
dc.identifier.citation | Saibene, A.M., Allevi, F., Calvo Henriquez, C., Dauby, N., Dondossola, D., Hervochon, R.,...,Sowerby, L. (2022). Comprehensive management of paranasal sinus fungus balls A Young-IFOS consensus statement. International Forum of Allergy & Rhinology (IFAR), 13 (5), 877-885. https://doi.org/10.1002/alr.23093. | |
dc.identifier.issn | 2042-6976; 2042-6984 | es |
dc.identifier.uri | https://hdl.handle.net/11441/146900 | |
dc.description.abstract | Background
Paranasal sinus fungus balls (PSFB) are a common form of surgically treatable, noninvasive mycosis. To date, no guidelines have standardized PSFB treatment or management of difficult cases (eg, immunocompromised or fragile patients). The clinical consensus statement presented herein aims to provide a comprehensive management guide to PSFB based on current evidence.
Methods
A multidisciplinary, international panel of 19 specialists judged statements in 3 rounds of a modified Delphi method survey. Statements encompassed the following PSFB management issues: definition, diagnostic workup; treatment indications and modalities; and follow-up. Otolaryngologists, maxillofacial surgeons, infectious disease specialists, and transplant physicians were considered the target audience.
Results
Among the 23 statements, 7 reached strong consensus and 16 reached consensus. Consensus was reached on the definition, diagnosis, and treatment modalities for PSFB. Postoperative follow-up modalities and scenarios with bacterial superinfection were the most debated issues.
Conclusion
Until further data are available, these points provide a framework for the management of PSFB. Moreover, PSFB should be considered a noninvasive mycosis that is not necessarily symptomatic or related to odontogenic conditions. Although diagnosis may be incidental, endoscopy and single imaging (computed tomography or magnetic resonance imaging, with distinctive features) are required for diagnosis, whereas contrast medium would allow for differential diagnosis. Although treatment of PSFB should be considered mandatory before sinus augmentation and is recommended for symptomatic patients, immunosuppressed patients, or patients with planned immunosuppression, watchful waiting could be considered for asymptomatic patients with chronic rhinosinusitis who are provided with appropriate advice and assessment. | es |
dc.format | application/pdf | es |
dc.format.extent | 9 p. | es |
dc.language.iso | eng | es |
dc.publisher | Wiley | es |
dc.relation.ispartof | International Forum of Allergy & Rhinology (IFAR), 13 (5), 877-885. | |
dc.rights | Atribución-NoComercial 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | * |
dc.subject | antibiotics | es |
dc.subject | computed tomography | es |
dc.subject | endoscopy | es |
dc.subject | guideline | es |
dc.subject | maxillary sinus | es |
dc.subject | mycosis | es |
dc.title | Comprehensive management of paranasal sinus fungus balls A Young-IFOS consensus statement | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.publisherversion | https://onlinelibrary.wiley.com/doi/10.1002/alr.23093 | es |
dc.identifier.doi | 10.1002/alr.23093 | es |
dc.journaltitle | International Forum of Allergy & Rhinology (IFAR) | es |
dc.publication.volumen | 13 | es |
dc.publication.issue | 5 | es |
dc.publication.initialPage | 877 | es |
dc.publication.endPage | 885 | es |
dc.contributor.funder | Universita degli Studi di Milano | es |