Two Cases of Allergic Fungal Sinusitis with Differing Postoperative Course
Allergic fungal sinusitis (AFS) often develops in unilateral paranasal sinuses, which must be differentiated from tumors. When AFS develops on both sides, however, it must be differentiated from eosinophilic chronic sinusitis with evident eosinophilic infiltration at nasal/paranasal sinus mucosa; bo...
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Language: | English |
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Wiley
2019-01-01
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Series: | Case Reports in Otolaryngology |
Online Access: | http://dx.doi.org/10.1155/2019/9598283 |
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author | Yuma Matsumoto Hidenori Yokoi Michitsugu Kawada Masachika Fujiwara Koichiro Saito |
author_facet | Yuma Matsumoto Hidenori Yokoi Michitsugu Kawada Masachika Fujiwara Koichiro Saito |
author_sort | Yuma Matsumoto |
collection | DOAJ |
description | Allergic fungal sinusitis (AFS) often develops in unilateral paranasal sinuses, which must be differentiated from tumors. When AFS develops on both sides, however, it must be differentiated from eosinophilic chronic sinusitis with evident eosinophilic infiltration at nasal/paranasal sinus mucosa; both conditions are highly recurrent and commonly considered intractable paranasal sinusitis. Surgical correction is the primary treatment method for AFS, as it is essential to connect the paranasal sinus communication to ensure exhaustive resection of the pathologic mucosa and for nasal steroids to reach each paranasal sinus. We recently encountered two AFS cases with differing postoperative courses. Case 1 showed evident exacerbation in the computed tomography findings, which suggests progression to eosinophilic sinusitis. Case 2 showed a benign prognosis without recurrence. Close long-term follow-up should be mandatory after surgery for the treatment of AFS. |
format | Article |
id | doaj-art-26e6a634c0094ece80b381d599bf236e |
institution | Kabale University |
issn | 2090-6765 2090-6773 |
language | English |
publishDate | 2019-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Otolaryngology |
spelling | doaj-art-26e6a634c0094ece80b381d599bf236e2025-02-03T05:59:31ZengWileyCase Reports in Otolaryngology2090-67652090-67732019-01-01201910.1155/2019/95982839598283Two Cases of Allergic Fungal Sinusitis with Differing Postoperative CourseYuma Matsumoto0Hidenori Yokoi1Michitsugu Kawada2Masachika Fujiwara3Koichiro Saito4Department of Otorhinolaryngology, Kyorin University School of Medicine, Mitaka, JapanDepartment of Otorhinolaryngology, Kyorin University School of Medicine, Mitaka, JapanDepartment of Otorhinolaryngology, Kyorin University School of Medicine, Mitaka, JapanDepartment of Pathology, Kyorin University School of Medicine, Mitaka, JapanDepartment of Otorhinolaryngology, Kyorin University School of Medicine, Mitaka, JapanAllergic fungal sinusitis (AFS) often develops in unilateral paranasal sinuses, which must be differentiated from tumors. When AFS develops on both sides, however, it must be differentiated from eosinophilic chronic sinusitis with evident eosinophilic infiltration at nasal/paranasal sinus mucosa; both conditions are highly recurrent and commonly considered intractable paranasal sinusitis. Surgical correction is the primary treatment method for AFS, as it is essential to connect the paranasal sinus communication to ensure exhaustive resection of the pathologic mucosa and for nasal steroids to reach each paranasal sinus. We recently encountered two AFS cases with differing postoperative courses. Case 1 showed evident exacerbation in the computed tomography findings, which suggests progression to eosinophilic sinusitis. Case 2 showed a benign prognosis without recurrence. Close long-term follow-up should be mandatory after surgery for the treatment of AFS.http://dx.doi.org/10.1155/2019/9598283 |
spellingShingle | Yuma Matsumoto Hidenori Yokoi Michitsugu Kawada Masachika Fujiwara Koichiro Saito Two Cases of Allergic Fungal Sinusitis with Differing Postoperative Course Case Reports in Otolaryngology |
title | Two Cases of Allergic Fungal Sinusitis with Differing Postoperative Course |
title_full | Two Cases of Allergic Fungal Sinusitis with Differing Postoperative Course |
title_fullStr | Two Cases of Allergic Fungal Sinusitis with Differing Postoperative Course |
title_full_unstemmed | Two Cases of Allergic Fungal Sinusitis with Differing Postoperative Course |
title_short | Two Cases of Allergic Fungal Sinusitis with Differing Postoperative Course |
title_sort | two cases of allergic fungal sinusitis with differing postoperative course |
url | http://dx.doi.org/10.1155/2019/9598283 |
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