Is fungal infestation of paranasal sinuses more aggressive in pediatric population?

Gupta, Ashok; Bansal, Sandeep; Gupta, Anish; Mathur, Nitin

doi:10.1016/j.ijporl.2005.08.014

Cited by 27 publications

(25 citation statements)

References 14 publications

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“…Similar findings have been reported by Lee and Lee 16 and Gupta et al 17 Residual disease was 8.13% in group I and 8.57% in group II and collectively it was 11.11%. There was no residual disease seen in isolated frontal sinus disease, hence showing high incidence of residual disease in cases of patients with pansinusitis but this data was not statistically significant (p-value: 0.838).…”

Section: Preoperativesupporting

confidence: 91%

Allergic Fungal Rhinosinusitis Involving Frontal Sinus: A Prospective Study comparing Surgical Modalities

Ak¹,

Lnu²,

Verma³

et al. 2013

An International Journal Clinical Rhinology

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Allergic fungal rhinosinusitis (AFRS) represents a hypersensitivity response to extramucosal fungi within the sinus cavity without evidence of tissue invasion. AFRS is characterized by fungal element with allergic mucin, Charcot-Leyden crystals, type I hypersensitivity, bony erosion with sinus infection on computed tomographic (CT) scan. Surgery remains the treatment of choice for AFRS followed by prolonged steroid therapy. Surgical approaches for frontal sinus disease can be either endonasal endoscopic or external. This is a nonrandomized prospective study, where the postoperative results of endoscopic frontal sinusotomy were compared with external frontoethmoidectomy approach. This is a nonrandomized prospective study, where the postoperative results of endoscopic frontal sinusotomy were compared with external frontoethmoidectomy approach. The comparison between external frontoethmoidectomy and endoscopic approach was done by using Chi-square test. There was no statistical significant difference found, when postoperatively clinical symptoms, radiology and investigations in patients of both the groups were compared. The success rate was 95.5% in group I and 91.1% after 6 months of follow-up. The world literature lacks prospective studies where attempts are made to compare the long-term results of both the surgical modalities for AFRS patients. Endoscopic endonasal approach has a distinct advantage over the external frontoethmoidectomy approach as it minimizes external scars over the face with almost equal or better long-term results.

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Section: Preoperativesupporting

confidence: 91%

Allergic Fungal Rhinosinusitis Involving Frontal Sinus: A Prospective Study comparing Surgical Modalities

Ak¹,

Lnu²,

Verma³

et al. 2013

An International Journal Clinical Rhinology

View full text Add to dashboard Cite

show abstract

“…Additional obstacles result from the presence of non-specific signs, including fever, headache, cough, pus discharge from the nasal cavity and pharyngeal pain. Fungal infection within the sinuses often coexists with pulmonary involvement (Hasan & Abuhammour, 2006;Gupta et al, 2006). Less common, but still characteristic features of fungal sinusitis include blocked nose, bleeding or pus discharge from the nares, deformation of facial soft tissues, orbital oedema, endophthalmus, visual impairment and destruction of bones.…”

Section: Discussionmentioning

confidence: 99%

“…Less common, but still characteristic features of fungal sinusitis include blocked nose, bleeding or pus discharge from the nares, deformation of facial soft tissues, orbital oedema, endophthalmus, visual impairment and destruction of bones. The maxillary, ethmoid and frontal sinuses are most commonly involved in patients younger than 15 years (Abbasi et al, 1999;Gupta et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

Highly effective unconventional management of aspergillosis of the left maxillary sinus in an 11-year-old girl with rhabdomyosarcoma embryonale of the frontal sinus

Peregud-Pogorzelski

Wawryków

Woźniak

et al. 2013

Journal of Medical Microbiology

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“…12 Our own review of the literature shows that 33 patients have been reported with partial or complete visual loss from AFS. 2,7,[12][13][14][15][18][19][20][21][22][23][24][25][26][27][28][29] Furthermore, 20 of the 33 patients have documented follow up of visual function, subjective or objective, after treatment. Sixteen of 20 patients showed improvement of their visual function.…”

Section: Discussionmentioning

confidence: 99%

Allergic Fungal Sinusitis Induced Visual Loss and Optic Neuropathy

Aakalu

Sepahdari

Kapur

et al. 2009

Neuro-Ophthalmology

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Visual loss associated with allergic fungal sinusitis (AFS) is uncommon, with incidence estimates ranging from 1.46% to 3.7%. Uncertainty remains concerning the pathophysiology of visual loss in the setting of AFS. Proposed theories include direct or indirect compression of the optic nerve or orbital inflammatory changes causing an optic neuritis. A case of precipitous visual loss in an adult male with clinical and radiographic evidence of optic neuropathy is reported. After surgical and medical interventions this patient showed improvement in optic nerve function. Visual loss associated with AFS is a rare but potentially devastating condition.

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Is fungal infestation of paranasal sinuses more aggressive in pediatric population?

Cited by 27 publications

References 14 publications

Allergic Fungal Rhinosinusitis Involving Frontal Sinus: A Prospective Study comparing Surgical Modalities

Allergic Fungal Rhinosinusitis Involving Frontal Sinus: A Prospective Study comparing Surgical Modalities

Highly effective unconventional management of aspergillosis of the left maxillary sinus in an 11-year-old girl with rhabdomyosarcoma embryonale of the frontal sinus

Allergic Fungal Sinusitis Induced Visual Loss and Optic Neuropathy

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