Fungal sinusitis
Clinical aspects and therapeutic management
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Our series included 30 cases divided into 16 cases of fungal bullet, 5 cases of allergic form, 5 cases of chronic invasive fungal sinusitis and 4 cases of mucormycosis. Females predominated, with a sex ratio of 0.3. The clinical picture was non-specific. Functional signs were dominated by rhinorrhea, nasal obstruction and facial pain. Imaging, based on CT and/or MRI, was performed in all patients. Endocranial and orbital extension was noted in 4 cases of the invasive form. Treatment depended on the clinical form. Surgical treatment was indicated in all cases. The endonasal route was used in 90...
Our series included 30 cases divided into 16 cases of fungal bullet, 5 cases of allergic form, 5 cases of chronic invasive fungal sinusitis and 4 cases of mucormycosis. Females predominated, with a sex ratio of 0.3. The clinical picture was non-specific. Functional signs were dominated by rhinorrhea, nasal obstruction and facial pain. Imaging, based on CT and/or MRI, was performed in all patients. Endocranial and orbital extension was noted in 4 cases of the invasive form. Treatment depended on the clinical form. Surgical treatment was indicated in all cases. The endonasal route was used in 90% of cases. General antifungal treatment was combined with surgery in 10 cases. Monitoring was essentially clinical and endoscopic for non-invasive forms. Radiological monitoring was performed in 4 cases of the invasive form, and cure was achieved in all patients with a fungal bullet. Recurrence was noted in two cases, one with the chronic invasive form and the other with the allergic form.
