PMID: 2126115Dec 1, 1990Paper

Fungal diseases of the sinuses

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
J P CoreyG Y Shaw

Abstract

With recent advances in medicine, fungal diseases are becoming not only better understood, but also increasingly important in the management of patients with paranasal sinus disease. Fungal sinus diseases run the gamut from allergic fungal rhinitis and allergic fungal sinusitis, through fungus balls, to invasive and fulminant fungal sinusitis. Allergic fungal sinusitis may be thought of as the sinus counterpart of allergic bronchopulmonary fungal disease. Patients typically are first seen with chronic sinusitis. They may be atopic, and the peripheral blood often shows elevated IgE levels and absolute eosinophil counts. Such patients may be managed conservatively, requiring only surgical drainage and corticosteroid therapy. Fungus balls are typified by the so-called "aspergilloma." Although patients often have some predisposing factor, such as local tissue hypoxia or massive fungal exposure, most patients are not immunocompromised. Fungus balls may be treated with the traditional Caldwell-Luc operation or with newer endoscopic procedures. Invasive or fulminant fungal sinusitis generally occurs in immunosuppressed patients and merits aggressive surgical excision and debridement, as well as systemic chemotherapy, usually amphoteri...Continue Reading

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Citations

Sep 14, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·P SupiyaphunP Sukumalpaiboon
Aug 28, 2009·The Annals of Otology, Rhinology, and Laryngology·Ashley B RobeyDonald A Leopold
Jul 28, 2016·International Forum of Allergy & Rhinology·Brian D'AnzaRaj Sindwani
Nov 1, 1994·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·J P Bent, F A Kuhn
Apr 16, 1998·The Journal of Laryngology and Otology·A C Swift, D W Denning
Jul 1, 1996·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Y G MinM H Han
Mar 5, 2004·Mycoses·Virginia Cameli-RojasDavid Balderrama-Caballero
Sep 1, 1996·Annals of Saudi Medicine·M M El-ZaatariM R McGinnis
Nov 26, 2002·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Matthew J TaylorHirohito Kita
Apr 8, 2009·Current Allergy and Asthma Reports·Devyani Lal, James A Stankiewicz
May 14, 1998·American Journal of Rhinology·N MirzaD C Lanza
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Jan 14, 2000·Seminars in Ultrasound, CT, and MR·G FatterpekarM Castillo

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