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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Main Authors: Yuma Matsumoto, Hidenori Yokoi, Michitsugu Kawada, Masachika Fujiwara, Koichiro Saito
Format: Article
Language:English
Published: Wiley 2019-01-01
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.
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issn 2090-6765
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publishDate 2019-01-01
publisher Wiley
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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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