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Otolaryngology


 

    

  





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.

        


 



 

Speciality Spotlight

 

    
  

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.
        

 

 

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