Fungal Rhinosinusitis : A Spectrum Of Disease

Fungal
Rhinosinusitis : A Spectrum Of Disease

         

• Berrylin J Ferguson (Eye and Ear Institute, Suite 500,Pittsburgh
  
  
  Definitions of Fungal Rhinosinusitis
  
  
  Otolaryngologic Clinics of North America, April 2000,Vol.33(2), p.227-235
  
      
  
  
  To predict prognosis accurately and to optimize effective therapy, classification of fungal rhinosinusitis has become mandatory. This classification is founded on the immunologic relationship of the fungus to the Host.
  
  Two Basic types: Invasive and Noninvasive. The manifestations are:-
  
      
  
  
  1. Acute invasive
  
  2. Chronic invasive (both granulomatus and
  nongranulomatus)
  
  3. Saprophylic colonisation
  
  4. Fungus balls (commonly referred as mycetamas)
  
  5. Allergic fungus sinusitis (AFS)
  
      
  
  
  Prognosis depends not on typed fungus but the immunologic status of the host. Knowledge of the fungal organism is important for proper antifungal therapy and also in selecting proper antigens for postsurgical immunotherapy in AFS (to prevent recurrence).
  
    
  
  
  Rhinosinusitis is name suggested by American Academy of Otolaryngology.
  
     
  
  
  Most invasive fungal rhinosinusitis begins in nose at middle turbinate Allergic fungal sinusitis
  (AFS) is a distinct entity.