Endoscopic Sinus Surgery of Aspergillus Sinusitis

Kim, Yong Dae; Bai, Chang Hoon; Kwon, Oh Cheol; Choi, Chul Gee; Suh, Jang Su; Song, Kei Won

Abstract

BACKGROUND: The fungal sinusitis is relatively rare but its incidence is increasing due to increasing use of antibiotics, steroids, and chemotherapheutic agents. It is reported that aspergillosis is the most common fungal infection among the fungi which involve the nasal cavity and paranasal sinuses. The surgical treatment of Aspergillus sinusitis were traditional Caldwell-Luc's operation with or without intranasal ethmoidectomy, or endoscopic sinus surgery.
OBJECTIVES
The postoperative results and complications of Caldwell-Luc's operation in Aspergillus sinusitis have been enough to report, but there were a few reports about the endoscopic sinus surgery. So, we reported postoperative outcomes and complications of endoscopic sinus surgery in Aspergillus sinusitis.
MATERIALS AND METHODS
Eleven cases of Aspergillus sinusitis of paranasal sinuses from April 1994 through April 1996 were analyzed on their clinical features, radiologic findings, operative findings, postoperative results, and complications.
RESULTS
All cases were treated successfully by endoscopic sinus surgery. No recurrence and postoperative complications were observed.
CONCLUSION
These results suggest that endoscopic sinus surgery is successful surgical method in Aspergillus sinusitis.