[Clinical analysis of 48 cases of non-invasive fungal sinusitis]. [Article in Chinese]

Author: 

Fang LN, Luo HJ, Ouyang YL.
Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jul 20;31(14):1086-1088.

Abstract: 

Objective:To analyze the causes, imaging diagnosis, clinical characteristics and clinical effect of the endoscopic surgery of non-invasive fungal rhino-sinusitis.Method:A retrospective analysis of 48 patients diagnosed with fungal sinusitis by pathology.Result:Forty-eight cases of 40 cases are fungal sinusitis (40/48), the other 8 cases are allergic fungal rhinosinusitis. The two morphology, imaging, histopathology, treatment and outcome are not the same, more than half of the CT scan and endoscopic examination, have different degrees of anatomical abnormalities (26/28), 25 cases had a long-term frequent using of antibiotics. Postoperative follow-up 1-3 years, cured 43 cases, recurrence 5 cases, which has been cured after re-surgery and other comprehensive treatment. Conclusion: Nasal cavity anatomical abnormalities and the frequent use of antibiotics is closely related to the attack of fungal sinusitis. Sinus CT scane and nasal endoscopy is an important method for the diagnosis of fungal sinusitis, and endoscopic sinus surgery is an effective method of fungal sinusitis. The recurrence rate of allergic fungal sinusitis was higher (5/8), so comprehensive treatment was an importance measure to prevent recurrence. Caution with antibiotics and hormones is to prevent fungal sinusitis occurred in a factor that can not be ignored.

KEYWORDS:

endoscopic sinus surgery; nosomycosis; sinusitis