Management of fungal sinusitis: A retrospective study in a medical college hospital.Sudhir M Naik, Ravishankar S, Deekshith RM, Sherry J, Pooja N, Shashikumar T, Shankarnarayan Bhatt.
Background/ objectives: Fungus balls are extramucosal collections of fungal elements, usually localized to a single sinus cavity, commonly the maxillary sinus. They appear as partial or complete heterogeneous opacification of the involved sinus with occasional metal dense opacities on CT scan. Here we report a case series of fungal sinusitis with multiple sinus involvement.
Materials and methods: We report a case series analysis of 46 cases of fungal sinusitis managed in our department for the past 3 years. Mean age in our study group was 32.45 years, with 15 males(mean age – 35.46 yrs) and 31 females ( mean age –31 yrs). All were operated with endoscopic sinus surgery after CT findings positive of fungal sinusitis.
Result: Fungal ball was seen in 36 (78.26%) cases and invasive fungal sinusitis were seen in 8 (17.39%)cases. 4 cases did not yield any growth and only secondary bacterial infection were seen on bacterial culture. 34 cases had disease in the maxillary sinus. 9 cases had bilateral growth and the rest unilateral only. 16 cases had disease in the sphenoid while 6 cases had both maxillary and sphenoid disease. 2 cases had ethmoidal disease.
Conclusion: Endoscopic sinus surgery is treatment of choice for non-invasive fungus ball. Local or systemic antifungal therapy are reserved for extensive and invasive fungal diseases.
fungal sinusitis, management of fungal sinusitis, fungal ball, endoscopic sinus surgery
American Journal of Diagnostic Imaging
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