[Functional endoscopic sinus surgery for fungal sinusitis [three years experience]]

ABSTRACT

Chronic noninvasive fungal sinusitis has three forms mycetoma, allergic fungal sinusitis and superficial sinonasal mycosis. Symptoms are usually nonspecific with the same clinical manifestation of chronic bacterial sinusitis, allergic polypoid sinusitis and tumor like findings. Endoscopic surgery is the choice of treatment with good results. In this study 340 Pt's with diagnosis of chronic rhinosinusitis underwent endonasal endoscopic surgery. Based on clinical findings, staining, cultures and pathology 39 pt's had fungal sinusitis. 21 Pt's had allergic fungal sinusitis, 11 pt's had maxillary mycetoma, 6 cases sphenoid sinus mycetoma and one case had frontal mycetoma. Prevalence of fungal infection on our pt's was 11 5%. All cultures were aspergillus and mean follow up time was 26 months; excent for three pt's no recurrence was