Complicated fungal sinusitis. Clinical and therapeutic aspects

Fungal infections of the sinuses are becoming more common and increasing number of cases are being reported in immunocompetent patients. Unfortunately a significant number of cases present with a complication. In this review of 140 patients with fungal sinusitis, 16 (11.4%) presented with an extrasi...

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Bibliographic Details
Published inRevue de laryngologie - otologie - rhinologie Vol. 122; no. 1; p. 37
Main Authors Mostafa, B E, el Fiki, L, Sallam, F A
Format Journal Article
LanguageEnglish
Published France 2001
Subjects
Anti-Inflammatory Agents - therapeutic use
Antifungal Agents - therapeutic use
Biopsy
Combined Modality Therapy
Endoscopy
Follow-Up Studies
Humans
Incidence
Magnetic Resonance Imaging
Mycoses - complications
Mycoses - diagnosis
Mycoses - microbiology
Mycoses - surgery
Patient Selection
Recurrence
Reoperation
Sinusitis - complications
Sinusitis - diagnosis
Sinusitis - microbiology
Sinusitis - surgery
Steroids
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Fungal infections of the sinuses are becoming more common and increasing number of cases are being reported in immunocompetent patients. Unfortunately a significant number of cases present with a complication. In this review of 140 patients with fungal sinusitis, 16 (11.4%) presented with an extrasinus, orbital or intracranial complication. The different fungal types, presentation and therapeutic approaches are discussed. This emphasizes the need for vigilance in dealing with patients with atypical sinus disease and to suspect fungal infections pre- and intraoperatively. Combined surgical and long term medical treatments are usually needed to prevent recurrences and spread of the infection.
ISSN:0035-1334