Nasal polyposis and fungal sinusitis

Nasal polypi are notorious for their recurrence. Among the inhalant allergens fungal spores can excite aggressive disease with hypertelorism and facial disfiguration. Aspergillus fumigatus is the commonest offending agent. Anterior ethmoid disease is the local anatomical factor which causes secondary sinusitis of the maxillary sinus. The relationship between nasal polypi and fungal sinusitis is highlighted. Twelve patients with aggressive and recurrent nasal polypi were subjected to Caldwell Luc clearance of the sinus combined with polypectomy. Results showed definite reduction in recurrence rate