Abstract：
INTRODUCTION:Early diagnosis of acute invasive fungal rhinosinusitis (AIFR) is crucial for patients prognosis and may reduce the extent of surgical debridement. Initial evaluation usually includes paranasal Computed Tomography (CT), with an emphasis on bony erosion which is considered a specific but insensitive radiologic sign. Most studies made no distinction between Aspergillus and Mucor species while addressing CT findings. In this study, we seek to evaluate whether bony erosion on paranasal CT is a significant and reliable finding in the initial evaluation of invasive paranasal mucormycosis. METHODS:A retrospective review of pre-operative non-contrast craniofacial CT scans of patients diagnosed with acute invasive fungal rhinosinusitis (AIFR) caused by Mucor species for the presence of bony erosion. RESULTS:A total of 13 patients (9 males, 4 females) were included. Twelve patients were immunosuppressed due to various hematological malignancies. Six patients underwent debridement due to gross intraoperative findings of bony fungal invasion, but only one patient had evidence of bony erosion on the pre operative paranasal CT. CONCLUSION:Bony erosion on paranasal CT is an exceptionally insensitive radiologic sign for establishing or rejecting the diagnosis of Mucor induced AIFR. The mainstay of confirming or rejecting the diagnosis of AIFR is by physical examination, endoscopy and oriented biopsy of suspicious mucosal lesions.
journal_name
Rhinologyjournal_title
Rhinologyauthors
Slonimsky G,Slonimsky E,Yakirevitch A,Sagiv D,Duvdevani S,Talmi YP,Wolf M,Alon EEdoi
10.4193/Rhin17.153subject
Has Abstractpub_date
2018-03-01 00:00:00pages
54-58issue
1eissn
0300-0729issn
1996-8604pii
1706journal_volume
56pub_type
杂志文章相关文献
RHINOLOGY文献大全abstract：:The aim of the study was to elucidate the role of beta-adrenoceptors in normal human nasal mucosa. In two studies, beta-receptor function was tested by the application of agonists and antagonists. Measurements of nasal secretion and nasal peak expiratory flow were performed at 4-min intervals, during 12 min of rest, p...
journal_title：Rhinology
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：1993-09-01 00:00:00
abstract：:This review is an excursion into the past to find the prototypes of the various nasal specula around the beginning of our century. The oldest prototype is documented in the ancient Hindu text Sushruta-samhita (6th century BC): a tubular nasal speculum. The bivalved forceps-like nasal speculum was mentioned by Hippocra...
journal_title：Rhinology
pub_type： 历史文章,杂志文章
doi：
更新日期：1990-06-01 00:00:00
abstract：:The nasal cycle has been demonstrated in man using several techniques, including magnetic resonance imaging, anterior rhinoscopy, rhinomanometry, all of which have limitations due to expense, discomfort, limited scope or poor reproducibility. Acoustic rhinometry is a new technique which analyses nasal geometry through...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
abstract：:Nasal airflow resistances were measured simultaneously by face mask and "head-out" body plethysmograph and compared. Computer averaging of transnasal pressure and flow signals digitized at 50Hz during 5 breath sequences was employed to determine a ratio of pressure to flow as an index of nasal resistance to breathing....
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1987-09-01 00:00:00
abstract：:Thirty-one patients suffering from acute frontal sinusitis were treated by trephination. The patency of the nasofrontal duct was measured daily via the ventilation tube by computerized rhinomanometry until the tube was removed. According to the air flow changes inside the frontal sinus during normal nasal breathing, t...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1991-09-01 00:00:00
abstract：:The authors give an account of the outcome of research done in the Allergo-Immunological Centre of the IInd ENT Division of Rome University, carried out among 210 children who were affected by nasal atopy. Particular stress was placed on the involvement of the nasopharyngo-tubal system. The age of the children ranged ...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1983-03-01 00:00:00
abstract：:Endothelin (ET) is a newly described peptide that was isolated from the supernatant of cultured porcine aortic endothelial cells. Among the three isoforms of ET, the originally discovered ET-1 is the only one that exists in vascular endothelium. It is reported to be an extremely potent vasoconstrictor in a variety of ...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：:This study evaluated the efficacy and tolerability of budesonide in an aqueous nasal spray (BANS) in patients with chronic rhinosinusitis. In this double-blind, placebo-controlled, multicentre, parallel-group study, patients (n = 167) with persistent rhinosinusitis symptoms despite 2-weeks' antibiotic treatment were r...
journal_title：Rhinology
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：
更新日期：2004-06-01 00:00:00
abstract：:A fungal ball consists of a dense conglomerate of fungal hyphae growing at the surface of the sinus mucosa without tissue infiltration. The maxillary sinus is by far the most commonly involved paranasal sinus cavity followed by the sphenoid sinus. The present study is a retrospective study of 25 consecutive cases trea...
journal_title：Rhinology
pub_type： 杂志文章,多中心研究
doi：10.4193/Rhino12.114
更新日期：2013-06-01 00:00:00
abstract：STATEMENT OF THE PROBLEM:Allergic rhinitis is a global public health issue. Peak nasal inspiratory flow (PNIF) can help in the assessment of patients with allergic rhinitis. However, reference values in the literature for PNIF in school children and adolescents are limited. THE AIM OF THIS STUDY was to identify referen...
journal_title：Rhinology
pub_type： 杂志文章
doi：10.4193/Rhino10.266
更新日期：2011-08-01 00:00:00
abstract：:In terms of functional treatment of sinonasal pathologies, endoscopic surgery represents a spectacular advance, offering excellent illumination, views of areas previously impossible to monitor, and the ability to view the main reference points in the surgical field. Over a five-year period (1988-1993), the authors hav...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1995-06-01 00:00:00
abstract：BACKGROUND:Several texts detail the possible complications of nasal reconstruction but few critically describe a series. We present an audit of the complications of 95 major nasal reconstructions. METHODS:This is a retrospective analysis of 95 consecutive major nasal reconstructions (49 male, 46 female, aged between 4...
journal_title：Rhinology
pub_type： 杂志文章
doi：10.4193/Rhin09.050
更新日期：2010-03-01 00:00:00
abstract：:We have recently developed a computer-assisted olfactory test to measure detection thresholds for five pure odorants. The reference group consisted of 30 subjects without olfactory complaints. Statistical analysis was carried out to identify a statistical criterion for determining olfactory deficiencies. This criterio...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1994-06-01 00:00:00
abstract：:In 44 subjects (healthy controls and patients with allergic, non-allergic or infectious rhinitis) we compared nasal histamine and methacholine responsiveness. A weak correlation between histamine- and methacholine-induced secretion was found (r = 0.34; p = 0.02), in contrast to the highly significant association betwe...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：BACKGROUND:Neutrophils present as major inflammatory cells in refractory chronic rhinosinusitis with nasal polyps (CRSwNP), regardless of the endotype. However, their role in the pathophysiology of CRSwNP remains poorly understood. We investigated factors predicting the surgical outcomes of CRSwNP patients with focus o...
journal_title：Rhinology
pub_type： 杂志文章
doi：10.4193/Rhin20.373
更新日期：2020-10-31 00:00:00
abstract：:Nasal mucociliary transport time, nasal hypersensitivity to histamine, the number of basophils and eosinophils in the superficial mucous layer of the inferior turbinate, and the amount of histamine in the nasal secretion were measured in the asthmatic children with subclinical nasal allergy (asthma group). These resul...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1986-06-01 00:00:00
abstract：:Patients requiring home oxygen can experience drying and crusting of nasal mucosa. On occasion it can be severe causing significant discomfort. In this report we present such a case. To prevent nasal airflow and hence reduce symptoms the patient was fitted with a nasal obturator. The use of the nasal obturator resulte...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：2004-12-01 00:00:00
abstract：:Postnasal drip (PND), commonly regarded as a phenomenon wherein nasal fluid drips into the pharynx, is one of the main symptoms of chronic sinusitis and other nasal lesions. This definition is controversial, however, because some patients have PND with no evidence of fluid either in the oropharynx or around the choana...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1999-12-01 00:00:00
abstract：:One disadvantage of functional endoscopic sinus surgery is the frequent post-operative cavity toilet considered necessary by most surgeons, which is not only costly but also very unwelcome to patients. In the Royal Berkshire Hospital in Reading, we have reviewed a series of 120 patients who underwent FESS over an 18-m...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1996-03-01 00:00:00
abstract：:Rhinocerebral Mucormycosis is a potentially life-threatening disease, which affects mainly immunocompromised patients. Treatment options include reversing immunosuppression, surgery and systemic and local administration of anti-fungal medication. Amphotericin B is the primary agent employed, but its use is often limit...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：OBJECTIVE:To assess the efficacy and safety of fluticasone propionate administered using OptiNose's novel delivery device (Opt-FP) in subjects with bilateral mild-to-moderate nasal polyposis. METHODS:A prospective, multicentre, randomized, double-blind, placebo-controlled, parallel group study was conducted in adult s...
journal_title：Rhinology
pub_type： 杂志文章,随机对照试验
doi：10.4193/Rhin09.024
更新日期：2009-12-01 00:00:00
abstract：BACKGROUND:Different from rhinoliths, the paranasal gossypiboma is a foreign body, such as a surgical sponge, left in the nasal cavity. It is a rare, frequently misdiagnosed disease that has rarely been reported. We summarize its clinical characteristics, management, and possible risk factors. METHODOLOGY:We reviewed ...
journal_title：Rhinology
pub_type： 杂志文章
doi：10.4193/Rhin16.341
更新日期：2017-09-01 00:00:00
abstract：INTRODUCTION:Primary Ciliary Dyskinesia (PCD) describes a group of inherited disorders which result in functional ciliary defects leading to mucous stasis. Clinical manifestations include otitis media with effusion and chronic rhinosinusitis. Nasal polyposis has previously been thought to be linked to PCD, and current ...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：2009-03-01 00:00:00
abstract：:Acquired nasopharyngeal obstruction is a rare lesion today. Formerly it was the result of infections, but today it is more commonly seen as an unusual complication of surgical trauma. This article reports the first case, as we know it from the international literature, of nasopharyngeal obstruction which cannot be att...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：:We have investigated a human nasal cell line, RPMI 2650 (ATCC), as an in vitro model to assess the absorption and tolerability of nasally administrated peptides. This cell line was cultured on different filters (i.e. Nunc, Costar, Falcon, Millipore, and Becton) which were uncoated or coated with collagen types I or IV...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：1995-12-01 00:00:00
abstract：:The glomangioma, a benign vascular tumour, derived from the cutaneous glomus bodies, should not be confused with paragangliomas, which are occasionally also referred to as glomus tumours. Up to now, only eleven cases of a glomangioma of the nasal cavity and the paranasal sinuses have been published. We report the case...
journal_title：Rhinology
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 00:00:00
abstract：AIM:Parosmia can be defined as a qualitative odor distortion. Despite the consequences of this condition for quality of life, the scientific literature lacks information about the prevalence of parosmia in the general population, which was the objective of the present study. METHODS:Random samples of 1,900 adult and 4...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：2007-03-01 00:00:00
abstract：BACKGROUND:Reconstruction of inner lining of the nose often requires complex surgical procedures. METHODOLOGY:To evaluate the scar hinge flap as an alternative reconstruction technique, 21 patients with full-thickness defects of the ala who received a scar hinge flap were retrospectively analysed. RESULTS:Twenty-one ...
journal_title：Rhinology
pub_type： 杂志文章
doi：10.4193/Rhin14.164
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:We aimed to identify potential morphologic changes induced in the nasal mucosa by hyperbaric oxygen (HBO) treatment. STUDY DESIGN:Biopsies were obtained from two groups of 9 individuals: the first group had a diagnosis of tinnitus and was submitted to 15 sessions of 100 min-long HBO treatments, and the latte...
journal_title：Rhinology
pub_type： 杂志文章
doi：
更新日期：2008-12-01 00:00:00
abstract：BACKGROUND:The role of tranexamic acid in patients undergoing endoscopic sinus surgery (ESS) is not clearly defined. The aim of our study is to systematically review the existing evidence on the role of tranexamic acid in patients undergoing ESS. METHODOLOGY:Systematic search of MEDLINE (1950 - 2013), EMBASE (1980 - 2...
journal_title：Rhinology
pub_type： 杂志文章,meta分析,评审
doi：10.4193/Rhin13.042
更新日期：2013-12-01 00:00:00
