Diagnosis and management of allergic fungal sinusitis with orbital involvement.

Abstract:

PURPOSE:Allergic fungal sinusitis (AFS) is a noninvasive disease characterized by recurrent sinusitis. This condition is commonly treated with surgical debridement and several months of systemic corticosteroids. The treatment of AFS is examined in this study. METHODS:A retrospective case series of three patients with AFS. RESULTS:All three patients were treated with surgical debridement and less than one month of systemic corticosteroids. The patients then were treated with intranasal corticosteroids and monitored closely. Antifungal therapy was not used. All three patients remained disease-free during follow-up ranging from 12 months to 36 months. CONCLUSIONS:Surgical debridement and systemic corticosteroids for less than four weeks followed by intranasal corticosteroids may provide long-term control of AFS. Additional study is recommended to examine further the optimal treatment for AFS.

authors

Chang WJ,Tse DT,Bressler KL,Casiano RR,Rosa RH,Johnson TE

doi

10.1097/00002341-200001000-00016

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

72-4

issue

1

eissn

0740-9303

issn

1537-2677

journal_volume

16

pub_type

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