Classification of Fungal Sinusitis in Immunocompetent Patients
OBJECTIVE: The objective of this study was to review the subgroup classification of fungal sinusitis in immunocompetent patients. METHODS: The study design included 19 immunocompetent patients with fungal sinusitis who were operated on between 1993 and 1998. RESULTS: Ten of 19 patients showed a fung...
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Veröffentlicht in: | Otolaryngology-head and neck surgery 2003-10, Vol.129 (4), p.372-378 |
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creator | Uri, Nechama Cohen-Kerem, Raanan Elmalah, Irit Doweck, Illana Greenberg, Elhanan |
description | OBJECTIVE: The objective of this study was to review the subgroup classification of fungal sinusitis in immunocompetent patients.
METHODS: The study design included 19 immunocompetent patients with fungal sinusitis who were operated on between 1993 and 1998.
RESULTS: Ten of 19 patients showed a fungus ball. They underwent a limited surgical endoscopic procedure, and no further treatment was needed. Four patients had allergic fungal sinusitis and were treated postoperatively with irrigation, topical steroids, and oral steroids in 2 patients as well. Five patients had chronic sinusitis with significant bone erosion. All 5 underwent an extensive endoscopic procedure and were treated postoperatively by repeated irrigation, endoscopic cleaning, and no antifungal preparation. Two patients of this group are reported broadly.
CONCLUSIONS: Fungal sinusitis in immunocompetent patients is not a rare condition and can be divided into 3 categories: 1) fungus ball, 2) chronic erosive (noninvasive) fungal sinusitis, and 3) allergic fungal sinusitis. The symptomatology, treatment, and prognosis varied significantly among the 3 different categories. (Otolaryngol Head Neck Surg 2003;129:372–8.) |
doi_str_mv | 10.1016/S0194-59980301304-4 |
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METHODS: The study design included 19 immunocompetent patients with fungal sinusitis who were operated on between 1993 and 1998.
RESULTS: Ten of 19 patients showed a fungus ball. They underwent a limited surgical endoscopic procedure, and no further treatment was needed. Four patients had allergic fungal sinusitis and were treated postoperatively with irrigation, topical steroids, and oral steroids in 2 patients as well. Five patients had chronic sinusitis with significant bone erosion. All 5 underwent an extensive endoscopic procedure and were treated postoperatively by repeated irrigation, endoscopic cleaning, and no antifungal preparation. Two patients of this group are reported broadly.
CONCLUSIONS: Fungal sinusitis in immunocompetent patients is not a rare condition and can be divided into 3 categories: 1) fungus ball, 2) chronic erosive (noninvasive) fungal sinusitis, and 3) allergic fungal sinusitis. The symptomatology, treatment, and prognosis varied significantly among the 3 different categories. (Otolaryngol Head Neck Surg 2003;129:372–8.)</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1016/S0194-59980301304-4</identifier><identifier>PMID: 14574291</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aspergillosis - microbiology ; Aspergillosis - pathology ; Aspergillosis - surgery ; Chronic Disease ; Endoscopy - methods ; Female ; Humans ; Immunocompetence ; Male ; Middle Aged ; Nasal Mucosa - microbiology ; Nasal Mucosa - pathology ; Paranasal Sinuses - diagnostic imaging ; Paranasal Sinuses - microbiology ; Paranasal Sinuses - pathology ; Retrospective Studies ; Severity of Illness Index ; Sinusitis - diagnosis ; Sinusitis - microbiology ; Sinusitis - surgery ; Tomography, X-Ray Computed</subject><ispartof>Otolaryngology-head and neck surgery, 2003-10, Vol.129 (4), p.372-378</ispartof><rights>2003 SAGE Publications</rights><rights>2003 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2410-13bb18a5450e61cf1ced51bf22669a31f75840e92ae16b31c9d88b41f1e1ff173</citedby><cites>FETCH-LOGICAL-c2410-13bb18a5450e61cf1ced51bf22669a31f75840e92ae16b31c9d88b41f1e1ff173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/S0194-59980301304-4$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/S0194-59980301304-4$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,1412,21800,27905,27906,43602,43603,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14574291$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Uri, Nechama</creatorcontrib><creatorcontrib>Cohen-Kerem, Raanan</creatorcontrib><creatorcontrib>Elmalah, Irit</creatorcontrib><creatorcontrib>Doweck, Illana</creatorcontrib><creatorcontrib>Greenberg, Elhanan</creatorcontrib><title>Classification of Fungal Sinusitis in Immunocompetent Patients</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>OBJECTIVE: The objective of this study was to review the subgroup classification of fungal sinusitis in immunocompetent patients.
METHODS: The study design included 19 immunocompetent patients with fungal sinusitis who were operated on between 1993 and 1998.
RESULTS: Ten of 19 patients showed a fungus ball. They underwent a limited surgical endoscopic procedure, and no further treatment was needed. Four patients had allergic fungal sinusitis and were treated postoperatively with irrigation, topical steroids, and oral steroids in 2 patients as well. Five patients had chronic sinusitis with significant bone erosion. All 5 underwent an extensive endoscopic procedure and were treated postoperatively by repeated irrigation, endoscopic cleaning, and no antifungal preparation. Two patients of this group are reported broadly.
CONCLUSIONS: Fungal sinusitis in immunocompetent patients is not a rare condition and can be divided into 3 categories: 1) fungus ball, 2) chronic erosive (noninvasive) fungal sinusitis, and 3) allergic fungal sinusitis. The symptomatology, treatment, and prognosis varied significantly among the 3 different categories. (Otolaryngol Head Neck Surg 2003;129:372–8.)</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aspergillosis - microbiology</subject><subject>Aspergillosis - pathology</subject><subject>Aspergillosis - surgery</subject><subject>Chronic Disease</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Immunocompetence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nasal Mucosa - microbiology</subject><subject>Nasal Mucosa - pathology</subject><subject>Paranasal Sinuses - diagnostic imaging</subject><subject>Paranasal Sinuses - microbiology</subject><subject>Paranasal Sinuses - pathology</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Sinusitis - diagnosis</subject><subject>Sinusitis - microbiology</subject><subject>Sinusitis - surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFFLwzAUhYMobk5_gSB98q16b5umDYKgw7nBcML0OaRdMjLaZjYtsn9vtEN9Ep_Oy3cO936EnCNcISC7XgJyGiacZxADxkBDekCGCDwNWYbpIRl-AwNy4twGABhL02MyQJqkNOI4JLfjUjpntClka2wdWB1Munoty2Bp6s6Z1rjA1MGsqrraFrbaqlbVbfDsaZ_ulBxpWTp1ts8ReZ08vIyn4XzxOBvfzcMiogghxnmOmUxoAophobFQqwRzHUWMcRmjTpOMguKRVMjyGAu-yrKcokaFWmMaj8hlv7tt7FunXCsq4wpVlrJWtnMixYgnCWYejHuwaKxzjdJi25hKNjuBID61iS9t4pc2QX3rYj_f5ZVa_XT2njxw0wPvplS7_2yKxfTpfuK_Z-Db0LedXCuxsV1Te1l_XvQB9xmGxQ</recordid><startdate>200310</startdate><enddate>200310</enddate><creator>Uri, Nechama</creator><creator>Cohen-Kerem, Raanan</creator><creator>Elmalah, Irit</creator><creator>Doweck, Illana</creator><creator>Greenberg, Elhanan</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200310</creationdate><title>Classification of Fungal Sinusitis in Immunocompetent Patients</title><author>Uri, Nechama ; Cohen-Kerem, Raanan ; Elmalah, Irit ; Doweck, Illana ; Greenberg, Elhanan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2410-13bb18a5450e61cf1ced51bf22669a31f75840e92ae16b31c9d88b41f1e1ff173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aspergillosis - microbiology</topic><topic>Aspergillosis - pathology</topic><topic>Aspergillosis - surgery</topic><topic>Chronic Disease</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Immunocompetence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nasal Mucosa - microbiology</topic><topic>Nasal Mucosa - pathology</topic><topic>Paranasal Sinuses - diagnostic imaging</topic><topic>Paranasal Sinuses - microbiology</topic><topic>Paranasal Sinuses - pathology</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sinusitis - diagnosis</topic><topic>Sinusitis - microbiology</topic><topic>Sinusitis - surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Uri, Nechama</creatorcontrib><creatorcontrib>Cohen-Kerem, Raanan</creatorcontrib><creatorcontrib>Elmalah, Irit</creatorcontrib><creatorcontrib>Doweck, Illana</creatorcontrib><creatorcontrib>Greenberg, Elhanan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Uri, Nechama</au><au>Cohen-Kerem, Raanan</au><au>Elmalah, Irit</au><au>Doweck, Illana</au><au>Greenberg, Elhanan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Classification of Fungal Sinusitis in Immunocompetent Patients</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2003-10</date><risdate>2003</risdate><volume>129</volume><issue>4</issue><spage>372</spage><epage>378</epage><pages>372-378</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>OBJECTIVE: The objective of this study was to review the subgroup classification of fungal sinusitis in immunocompetent patients.
METHODS: The study design included 19 immunocompetent patients with fungal sinusitis who were operated on between 1993 and 1998.
RESULTS: Ten of 19 patients showed a fungus ball. They underwent a limited surgical endoscopic procedure, and no further treatment was needed. Four patients had allergic fungal sinusitis and were treated postoperatively with irrigation, topical steroids, and oral steroids in 2 patients as well. Five patients had chronic sinusitis with significant bone erosion. All 5 underwent an extensive endoscopic procedure and were treated postoperatively by repeated irrigation, endoscopic cleaning, and no antifungal preparation. Two patients of this group are reported broadly.
CONCLUSIONS: Fungal sinusitis in immunocompetent patients is not a rare condition and can be divided into 3 categories: 1) fungus ball, 2) chronic erosive (noninvasive) fungal sinusitis, and 3) allergic fungal sinusitis. The symptomatology, treatment, and prognosis varied significantly among the 3 different categories. (Otolaryngol Head Neck Surg 2003;129:372–8.)</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>14574291</pmid><doi>10.1016/S0194-59980301304-4</doi><tpages>7</tpages></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SAGE Complete A-Z List; Alma/SFX Local Collection |
subjects | Adult Aged Aged, 80 and over Aspergillosis - microbiology Aspergillosis - pathology Aspergillosis - surgery Chronic Disease Endoscopy - methods Female Humans Immunocompetence Male Middle Aged Nasal Mucosa - microbiology Nasal Mucosa - pathology Paranasal Sinuses - diagnostic imaging Paranasal Sinuses - microbiology Paranasal Sinuses - pathology Retrospective Studies Severity of Illness Index Sinusitis - diagnosis Sinusitis - microbiology Sinusitis - surgery Tomography, X-Ray Computed |
title | Classification of Fungal Sinusitis in Immunocompetent Patients |
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