Sphenoid Sinus Fungus Ball: Symptoms, Diagnosis and Treatment
A sphenoid sinus fungus ball is a collection of fungal material within one of the deeper sinuses behind the nose. Symptoms may include headache and drainage at the back of the nose, but these symptoms can have many other causes.
How is it diagnosed?
Symptoms alone cannot establish the diagnosis. Assessment may include nasal endoscopy and a CT scan. MRI may be needed when the examination or imaging raises additional concerns.
How is it treated?
Treatment commonly involves endoscopic surgery to remove the fungal material and allow drainage. Laboratory examination of the removed material helps confirm the diagnosis. Follow-up is tailored to each patient.
Research co-authored by Dr. Raed Rtail
Dr. Raed Rtail co-authored a study on the diagnosis, surgical treatment and follow-up of patients with sphenoid sinus fungus ball, published in 2013.
A persistent headache does not necessarily indicate sinus disease. An appropriate medical assessment is essential to identify its cause.
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Scientific reference
Karkas A, Rtail R, Reyt E, Timi N, Righini CA. Sphenoid sinus fungus ball. European Archives of Oto-Rhino-Laryngology. 2013;270:893–898.
