Diagnosis and Treatment of Fungal Sinusitis--a Report of 19 Cases

Objective: To improve the diagnosis and treatment of fungal sinusitis. Methods:Clinical data of 19 patients with fungal sinusitis were reviewed retrospectively. Results: Of 19 patients, the infected sites were all in unilateral nasal sinus. 12 cases presentiod in maxillary sinus, 2 cases presented in ethmoid sinus, 1 case presented in sphenoid sinus, 3 cases involved over two nasal sinuses, and 1 case involved over three nasal sinuses. CT scan showed 15 cases (78.9%) had a calcified area inside in nasal sinus, 5 cases had bone destructive. 3 cases recurrence occurred as followed within 2 years after operation. Conclusion:Fungal sinusitis usually occurred in unilateral nasal sinus, especially in maxillary sinus. CT has very important value for its diagnosis. Surgical management is effective in the treatment of fungal sinusitis.