Allergic Fungal Sinusitis Caused by Exserohilum rostratum and Literature Review

Alajmi, Salma; Koratum, Rafik Mahmoud; Khan, Ziauddin; Ahmad, Suhail; Jeragh, Ahlam; Ibrahim, Hany M.; Joseph, Leena; Varghese, Soumya

doi:10.1007/s11046-018-0288-z

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…The incidence of AFS is higher than in the international literature. The incidence of AFS is approximately 7% of all chronic sinusitis requiring surgery [13][14] . A literature review shows that the prevalence of AFS is higher in temperate regions with relatively high humidity.…”

Section: Discussionmentioning

confidence: 99%

Study to Determine the Incidence of Allergic Fungal Sinusitis among Patients with Nasal Polyps and Its Related Risk Factors

Zada¹,

Ahmed²,

Habib³

et al. 2021

PJMHS

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Aim: To govern the incidence of allergic fungal sinusitis in patients with nasal polyposis. Various anatomical risk factors were also investigated, including turbinate hypertrophy, deviated nasal septum and comorbidities such as asthma and diabetes. Study Design: This is a Descriptive cross-sectional study. Place and duration of study:The study was conducted at ENT Head &Neck Surgery department, Lady Reading Hospital MTI, Peshawar and Azra Nahid Medical College, Lahore for the duration of six months from May 2020 to October 2020. Methods: 110 patients with nasal polyps were evaluated and operated on. Samples were sent for histopathological examination and culture. All patients were assessed with clinical examination and detailed history. Laboratory tests were performed including complete blood counts, urea, electrolytes, ECG and chest radiographs for the suitability of general anesthesia as a prerequisite for surgery. In 95% of cases, computed tomography was recommended to check for sinus involvement, bone erosion, osteo-hypertrophic complex, turbinate hypertrophy, nasal septal deviation, and intracranial and intra-orbital enlargement. MRI examinations were also recommended in cases of suspected intraocular and intracranial disease (5%). Data was scrutinized on a computer using SPSS version 22.0. Results:Of the 110 patients, 65 were male and 45 were female, with a mean age of 1and ranged from 7 to 80 years. All patients had nasal polyps. The incidence of AFS was approximately 29.1% and the remaining 78 had a different pathology. Major deviation of the nasal septum and bilateral hypertrophy of the inferior turbinate’s were observed in 6 (18.7%) and 4 (12.5%) patients, respectively. Unilateral nasal polyps were observed in 7 (21.9%) patients and bilateral nasal polyps in 18 (52.3%). 19/32 (59.4%) of the cases underwent functional endoscopic surgery of the paranasal sinuses, and in 6 (18.7%) external fronto-ethmoidectomy. Two patients underwent nasal ethmoidectomy. Septoplasty and endoscopic sinus surgery were performed in a total of 3 (9.37%) cases. Key words:Allergic bronchopulmonary aspergillosis (ABPA), Allergic fungal sinusitis (AFS).

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Section: Discussionmentioning

confidence: 99%

Study to Determine the Incidence of Allergic Fungal Sinusitis among Patients with Nasal Polyps and Its Related Risk Factors

Zada¹,

Ahmed²,

Habib³

et al. 2021

PJMHS

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“…Corticosteroids are given preoperatively and postoperatively to reduce inflammatory/allergic response which in turn helps to control peroperative bleeding and recurrence. 10,11 The goal of primary and revision surgery is the removal of mechanical obstruction, clearance of sinus contents and establishment of adequate outflow tracts while maintaining mucociliary function. 12 Identification of areas of bone erosion through recognition of defects, 12 in base of the skull and orbit is very important prior to surgery in order to prevent serious complications.…”

Section: Discussionmentioning

confidence: 99%

Frequency of Bone Erosion on Computerized Tomograpghy Scan in Allergic Fungal Rhinosinusitis

Ali

Attiq

Raza

et al. 2021

PAFMJ

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Objective: To analyze the frequency and sites of bone erosion on computerized tomograghy scan in Allergic Fungal Rhinosinustis in Pakistan. Study Design: Retrospective observational study. Place and Duration of Study: Department of ENT, Combined Military Hospital Lahore, Malir Karachi and Rawalpindi, from Jan 2010 to Dec 2019. Methodology: Total 230 cases of Allergic Fungal Rhinosinusitis were screened, out of which 85 patients having bone erosions on computerized tomograpghy scan were included in the study. Bone erosion in different paranasal sinuses and their sub sites were evaluated. Depending upon the number of bone erosion, patients were divided into three categories as mild, moderate and severe. Those having erosion at a single site were labelled as mild, those with two sub sites of erosion as moderate and those with more than two subsites of erosion were labelled as severe cases. Results: Detailed evaluation of computerized tomography scan of paranasal sinuses revealed bone erosion in 85/230 (36.9%) cases. Mean affected age was 23.96 ± 12.71 years. There were 52 (61.1%) males and 33 (38.9%) females. Ethmoid sinus was the most commonly involved sinus to have bone erosions 55 (38.19%) followed by maxillary sinus 38 (26.38%) then sphenoid sinus 27 (18.75%) and lastly frontal sinus 24 (16.6%). Out of 85 patients 48 (56.1%) were having mild, 22 (25.8%) moderate and 15 (17.6%) had severe disease. Conclusion: Allergic Fungal Rhinosinusitis has high frequency of bone erosion. Computerized tomography scan is an important and effective investigation in finding these bony erosions and ethmoid sinus is the.....

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“…Bone erosion in AFRS results from fungal debris, secondary impacts of inflammatory mediators, and expansion of walls of paranasal sinuses, all of which cause pressure atrophy (Tsetsos et al, 2021). Numerous studies have reported bone erosion to radiographic and clinical findings in some patients of AFRS (Alajmi et al, 2019;Alharbi et al, 2023). However, limited literature on CT features of AFRS associated bone erosion exists.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Bony Erosion in Patients With Allergic Fungal Rhinosinusitis

BHATTI

Ashraf

Irfan

2023

Biol Clin Sci Res J

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The retrospective study was conducted in Nishtar Medical Hospital & Bakhtawar Amin Hospital from January 2021 to January 2022 to evaluate CT findings of bone erosion and the implication of surgical treatment in patients with AFRS. The study was conducted on a total of 140 patients. All patients underwent sinus CT examination before the start of treatment. Experienced neuroradiologist examined CT characteristics of bone erosion. Data were recorded, including disease and bone erosion location, sinus expansion, and disease extension into neighboring anatomical spaces. Of 140 patients, 26 (18.5%) had radiographic evidence of bone erosion. 1 of the 26 patients had undergone previous endoscopic surgery. The ethmoid sinus was the most common site of bone erosion. The adjacent anatomic site which was affected most due to disease extension was the orbit. There was a significant association between bone expansion and expansion of frontal, sphenoid, ethmoid, and maxillary sinuses (P=.027). Bone erosion creates a route for disease progression in the intracranial cavity and orbit. It is not associated with fungal invasion and should be accurately differentiated from Sino nasal malignancy or invasive fungal sinusitis to avoid unnecessary invasive procedures.

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Allergic Fungal Sinusitis Caused by Exserohilum rostratum and Literature Review

Cited by 7 publications

References 30 publications

Study to Determine the Incidence of Allergic Fungal Sinusitis among Patients with Nasal Polyps and Its Related Risk Factors

Study to Determine the Incidence of Allergic Fungal Sinusitis among Patients with Nasal Polyps and Its Related Risk Factors

Frequency of Bone Erosion on Computerized Tomograpghy Scan in Allergic Fungal Rhinosinusitis

Evaluation of Bony Erosion in Patients With Allergic Fungal Rhinosinusitis

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