ABSTRACT
Objectives: To portray the extra nasal features of fungal sinusitis in children in southern Punjab [Pakistan]
Study design: A retrospective descriptive study
Place and duration: Conducted at two tertiary care hospitals Ibn-e-Sina Hospital Multan, teaching hospital affiliated with Multan Med and Dental College, CMH Multan and one private ENT hospital Javeria ENT hospital Mianchanu. Period of study was three years [Jan 2010-Dec 2012]
Methodology: Thirty children with age range of 5-12 years fulfilling the diagnostic criteria of fungal sinusitis treated within 3 years [Jan 2010 - Dec 2012] were evaluated retrospectively. Nineteen patients were referred from ophthalmology and pediatric units of different hospitals located in Multan region for otorhinological opinion. Eleven patients reported directly to ENT department with nasal symptoms. Clinical presentation, radiological, laboratory and operative findings were studied
Results: Mean age determined was 10.2. Males were affected more than female and majority of them belonged to underprivileged group. Most frequent extra nasal features were epiphora, proptosis, telecanthus and headache
Conclusion: Fungal sinusitis is misjudged in children. In absence of or minimal nasal symptoms diagnosis gets delayed leading to dreadful disease with poor outcome