AI Summary & Key Takeaways
AI InsightHowever, 2 patients with acute fulminant invasive sinusitis died before they were operated on, and 1 patient died postoperatively.
📌 3 Key Takeaways
Abstract
Fungal infections can be mainly grouped into four, invasive forms are; acute sinusitis (fulminant), chronic si-nusitis (indolent), whereas non-invasive forms are; mycetoma and allergic fungal sinusitis. From December 1993 to Decem-ber 1997,27 fungal sinusitis cases, 22 of which were noninvasive forms, and 5 of which were invasive forms were treated and are presented in this study. When we classified the patients with fungal sinusitis, 11 were diagnosed with mycetoma, 9 with allergic fungal sinusitis, 3 with acute fulminant sinusitis and 2 with chronic indolent sinusitis, while 2 patients were not included to our four groups of sinusitis. In all mycetoma cases the active agent was aspergillus. Patients with non invasive forms of sinusitis were all tre-ated with endoscopie sinus surgery. 2 of the patients with invasive forms of sinusitis were performed maxillectomy and they were administired Amphotericin -B. With a men follow up of 18 months, only three recurrences were seen. The infection recur-red in 2 patients with allergic fungal sinusitis and 1 patient with chronic invasive sinusitis. However, 2 patients with acute fulminant invasive sinusitis died before they were operated on, and 1 patient died postoperatively.
Özet
Fungal sinüzitleri başlıca 4 grup altında toplayabiliriz. İnvaziv formlar: l-Akut (Fulminan) 2-Kronik (indolent) Non-invaziv formlar ise 3-Mycetoma ve 4- Aller-jik fungal sinüzitlerdir. Aralık 1993-Aralık 1997 tarihleri arasında kronik si-nüzit nedeniyle endokkopik sinüs cerrahisi uygulanan 275 hastada, histolojik, mikolojik ve immünolojik incelemeler ilefun-gal sinüzit araştırılmış ve toplam 27 olguya fungal sinüzit tanısı konmuştur. Fungal sinüzitli hastaların sınıflaması yapıldığında; 11 mycetoma, 9 aller jik fungal sinüzit, 3 akutfulminan ve 2 kronik in-dolent tanısı almış, 2 hasta ise 4fungal sinüzit grubu içine alınamamıştır. Mycetomaların hepsinde etken aspergillustur. İkin-ci sıklıkta görülen fungus penicilium olmuştur. Non-invaziv formların hepsi endoskopik sinüs cerrahisi ile tedavi edilmiştir. İNvaziv formlardan iki tanesine maksillektomi yapılmış ve Amfoterisin-B uygulanmıştır. Ortalama 18 aylık takip periyodu içinde, aller jik fungal sinüzitli 2 hastada ve invaziv sinüzitli l hastada rekürrens saptanmıştır. Akutfulminan invaziv sinü-zitli 2 hasta cerrahi müdahele yapılamadan l hasta ise operasyondan 5 ay sonra ex olmuştur.