Management of fungal rhinosinusitis with endoscopic sinus surgery(A report of 96 cases)

[Objective] To evaluate the therapeutic effect of endoscopic sinus surgery for fungal rhinosinusitis. [Methods] 96 cases suffering from fungal rhinosinusitis were treated with endoscopic sinus surgery and followed up for one to eight years. [Results] According to the classification criteria, 79.2%(76/96) was fungus ball and only 2 cases(2.6%) relapsed 2 to 8 years after intranasal endoscopic surgery. The ratio of allergic fungal rhinosinusitis was 12.5%(12/96), with the post-operative relapse incidence of 16.7%(2/12) in 1~3 years. 2 cases (2.1%) suffered from acute fulminant fungal rhinosinusitis and none recurred postoperatively in 2~4 years. The case number of chronic invasive fungal rhinosinusitis occupied 6.3%(6/96) of all the cases and none of them recurred 2 to 5 years after endoscopic sinus surgery. No severe surgical complications occurred. [Conclusions] Endoscopic sinus surgery is the main method for the management of fungal rhinosinusitis. Apparent differences exist in the treatment principles for different types of fungal rhinosinusitis.