Fungal Sinusitis: a Retrospective Analysis of Operated 298 Cases at a Single Medical Center, 2005–2015 / 대한의진균학회지

ABSTRACT

BACKGROUND: Many articles have reported an increased prevalence of fungal sinusitis in otherwise healthy individuals, although invasive fungal sinusitis is a well-documented disease in immunocompromised patients. OBJECTIVE: This study aimed to analyze the linear trend of changes in clinical characteristics of fungal sinusitis from 2005 to 2015. METHODS: Of the 3198 patients who underwent endoscopic sinus surgery between 2005 and 2015, 298 cases that were pathologically confirmed to be fungal sinusitis were retrospectively analyzed by reviewing their medical records. RESULTS: From 2005 to 2015, the mean age of fungal sinusitis patients showed increasing trend. The number and the proportion of fungal sinusitis cases in FESS (functional endoscopic sinus surgery) patients showed increasing trend. The percentages of fungal sinusitis patients with hypertension, allergic rhinitis, and septal deviation also showed increasing trend for eleven years. There were no statistical relationship between the direction of septal deviation and affected sinuses. CONCLUSION: Fungal sinusitis had increased from 2005 to 2015. The age and comorbidities such as hypertension, allergic rhinitis, and septal deviation in fungal sinusitis patient had also increased.