Diagnosis and management of allergic fungal sinusitis with orbital involvement

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. A retrospective case series of three patients wi...

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Veröffentlicht in:Ophthalmic plastic and reconstructive surgery 2000, Vol.16 (1), p.72-74
Hauptverfasser: CHANG, W. J, TSE, D. T, BRESSLER, K. L, CASIANO, R. R, ROSA, R. H, JOHNSON, T. E
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container_end_page 74
container_issue 1
container_start_page 72
container_title Ophthalmic plastic and reconstructive surgery
container_volume 16
creator CHANG, W. J
TSE, D. T
BRESSLER, K. L
CASIANO, R. R
ROSA, R. H
JOHNSON, T. E
description 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. A retrospective case series of three patients with AFS. 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. 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.
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subjects Adolescent
Adult
Biological and medical sciences
Child
Debridement - methods
Endoscopy
Eye Infections, Fungal - diagnostic imaging
Eye Infections, Fungal - microbiology
Eye Infections, Fungal - therapy
Fungi - isolation & purification
Glucocorticoids - therapeutic use
Human mycoses
Humans
Infectious diseases
Male
Medical sciences
Mycoses
Mycoses of the eye and the orbit
Orbit - microbiology
Orbital Diseases - diagnostic imaging
Orbital Diseases - microbiology
Orbital Diseases - therapy
Paranasal Sinuses - microbiology
Retrospective Studies
Sinusitis - diagnostic imaging
Sinusitis - microbiology
Sinusitis - therapy
Tomography, X-Ray Computed
title Diagnosis and management of allergic fungal sinusitis with orbital involvement
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