ABSTRACT
Invasive fungal sinusitis [IFS] caused commonly by Mucoraccae. Mucormycosis usually occurs in patients with immunodeficiency. It has high mortality rate. Since there has not been a clear protocol for treating these patients and, we decided to establish a protocol for IFS management. This study included 30 patients who were suspected of having IFS. After confirming the pathogen, medical staff selected the proper protocol for treatment. The site involvement included nose and orbital cavity [53.3%], brain in conjunction with sinonsal [36.6%] and simple nasal cavity involvement [10%]. 86.6% of the patients had underlying diseases. Diabetes as single underlying disease in 56.6% while both diabetes and renal failure were found combined in 13.3%. Acute lymphocytic leukaemia in 6.65%, 3.3% renal failure, lupus 3.3% and 3.3% chronic lymphocytic leukemia etc. Mortality was 40%. We categorize the patient in 3 groups: only sinonasal, sinonasal and orbit, and associated brain involvement which have very poor prognosis