| Objective:To analyze the relationship between the clinical features of fungal ball sinusitis(FBS)and chronic rhinosinusitis(CRS)and the abnormal anatomical structure of the nasal cavity and paranasal sinuses,so as to provide a reference for clinical prevention and treatment of fungal ball sinusitis.Methods:From January 2016 to January 2022,202 cases of fungal ball sinusitis(FBS)diagnosed by surgery and pathology in the Department of Otolaryngology and Head and Neck Surgery of Yanbian University Hospital were selected as the observation group(86 cases of Korean nationality and 105 cases of Han nationality).A total of222 patients with chronic rhinosinusitis(CRS)and pathological diagnosis of chronic rhinosinusitis(CRS)were selected as the control group(92 Korean and 120 Han).The two groups of patients were divided into groups of <40 years old,40-59 years old and≥60 years old according to age.Group.The general data,distribution of different age groups,personal history,past history,clinical symptoms,unilateral or bilateral involvement of the lesions,and the presence or absence of calcification in the sinuses and sinuses were compared and analyzed between the two groups.Anatomical abnormalities of the nasal cavity and paranasal sinuses(deviation of nasal septum,concha bullosa,paradoxic curve or excess of the middle turbinate,uncinate hypertrophy,Onodi cells and Haller cells were recorded according to the CT examination of the nasal cavity and the nasal cavity and the observation of intraoperative nasal endoscopy.Occurrence frequency),the correlation between the two groups and the abnormal anatomical structure of the nasal cavity and paranasal sinuses was compared and analyzed.SPSS 26.0 statistical software was used for statistical analysis of various data,and items with statistical differences were included in multivariate binary logistic regression analysis,and the Enter method was used to screen the risk factors of FBS.All significant tests were two-sided,and P<0.05 was considered statistically significant.Results:1.Univariate analysis results: age,gender,smoking history,drinking history,surgery history,nasal congestion,blood in the snot,head and face discomfort or pain,unilateral and bilateral,single sinus and multiple sinuses,number of sinus cavities,and sinus cavities between the two groups There were statistically significant differences in calcification foci,uncinate process hypertrophy and other indicators(all P<0.05).In the FBS group and CRS group,the patients aged <40 years were 8.4%and 34.7%,respectively,40-59 years old were 48.0% and 41.4%,respectively,and the patients aged ≥60 years were 43.6% and 23.9% respectively.The distributions were statistically different(P<0.05).There were no significant differences in the deviation of nasal septum,pneumatization of the middle turbinate,reverse curvature or length of the middle turbinate,infraorbital air room and Onodi air room between the two groups(all P>0.05).Hypertrophy was 34.7% and 27.5%,and there was statistical significance between the two groups(P<0.05).There was no statistical difference in the number of cases between the two groups(P>0.05).2.Multivariate binary logistic regression analysis results: Compared with age <40years old,the OR value of age 40-59 years old is 3.525(95%CI is 1.39-8.932),and the OR value of age ≥60 years old is 6.487(95%CI is 2.402-17.522),the OR value of head and face discomfort and pain was 2.926(95% CI,1.331-6.431),and the OR value of sinus calcification was 56.326(95% CI,20.252-156.655).Conclusion:1.The common clinical symptoms of FBS are nasal congestion,head and face discomfort or pain,and blood in the snot.2.Compared with CRS,FBS showed abnormal anatomical structure of nasal cavity and sinus without specificity.3.Patient age >40 years,head and face discomfort,pain,and sinus calcification are risk factors for FBS. |
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