ABSTRACT
This study was done on thirteen patients [nine males and four females] with fungal of paranasal sinuses [PNS]. Their ages ranged between 17-40 years. They were classified into three groups according to the site of the lesion. Group A included three patients with localized unilateral fungal granuloma affecting the anterior group of PNS, Group B included four patients with invasive fungal granuloma affecting anterior and posterior groups of PNS either unilateral or bilateral and Group C included six patients of invasive fungal granuloma of PNS with intraorbital and/or intracranial affection. Description of different methods for proper diagnosis of the fungal infection of PNS and the best method for its treatment were discussed. This study showed that radical surgical removal of the lesions combined with antifungal therapy were the most effective. The use of local antifungal and local instillation of honey is needed for some cases