Characteristics of patients with diagnosed chronic fungal rhinosinusitis surgically treated in the past five years

Autor: Buljčik-Čupić Maja, Savović Slobodan, Lemajić-Komazec Slobodanka, Dragičević Danijela, Tešić Tamara, Sivčev Ivan
Jazyk: English<br />Serbian
Rok vydání: 2023
Předmět:
Zdroj: Srpski Arhiv za Celokupno Lekarstvo, Vol 151, Iss 5-6, Pp 321-325 (2023)
Druh dokumentu: article
ISSN: 0370-8179
2406-0895
DOI: 10.2298/SARH211016053B
Popis: Introduction/Objective. Fungal rhinosinusitis comprises of a wide range of immune-pathological responses, including invasive, chronic, granulomatous, and allergic diseases. Aim of this study was to determine total number of patients, their characteristics, frequency of symptoms, the manner of disease manifestation and the success of therapy. Methods. Study included 21 patients with fungal rhinosinusitis diagnosis made according to the 2020 EPOS guidelines. Results. Based on the visual analogue scale, feeling of localized pressure, i.e., facial pain, was dominant with a score of 9.57 ± 0.98, followed by the secretion from the nose with 8.14 ± 1.62, problems with breathing through the nose with 6.67 ± 3.25, and reduction the sense of smell with 2.14 ± 3.00. The t-test showed a statistically significant difference between mucosal changes on the diseased and healthy sides of the patient‘s face (p < 0.0001). Only one sinus was affected intraoperatively in 18 (85.71%) patients. The most commonly affected sinus was the maxillary one, in 13 (54.17%) patients, followed by the sphenoid sinus in five (20.83%) patients. Aspergillus was proven аs the couse of rhinosinusitis in 12 (57.14%) patients. Conclusion. The dominant symptom of patients with fungal rhinosinusitis was localized pain/pressure in the area of the affected sinus. Endoscopically, on the side of the affected sinus, the pathological mucosa with thick, pithy, mucous secretion dominated. The maxillar sinus was primarily unilaterally affected, in more than half of the patients. Aspergillus has been proven to be the most common cause of rhinosinusitis.
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