Endoscopic surgical treatment of fungal sinusitis in 58 cases.docVIP

 PAGE \* MERGEFORMAT 8 Endoscopic surgical treatment of fungal sinusitis in 58 cases [Keywords:] endoscopic sinus fungal sinusitis Paranasal sinus fungal disease is a common clinical specificity of sinusitis patients. In recent years, with sinus CT imaging diagnostic techniques such as the development and use of nasal endoscopy to make preoperative diagnosis and treatment significantly increased, and endoscopic surgery with less trauma, the recurrence rate and low benefits [1]. Our department were treated 58 cases of fungal sinusitis patients with nasal endoscopic sinus surgery were satisfactory outcome, are reported below. 1 Data and methods 1.1 General information from June 2001 to June 2006 Wenling Hospital admitted 58 cases of fungal sinusitis patients, 34 cases were male, female 24 cases; age of 26 to 74 years old, with an average 39.60 years old; course of disease from 3 months to 2 years an average of 6 months. 13 patients complained of nasal obstruction, purulent nasal discharge, or tears in the blood in 23 cases, 17 cases of nasal congestion associated with nasal odor, headache, dizziness in 6 cases, eyes bulging with the face discomfort in 3 patients. Nasal endoscopy: inferior turbinate hypertrophy in 6 cases, middle turbinate hypertrophy or polypoid change in 17 cases, nasal polyps in 6 cases, the middle meatus purulent nasal discharge in 14 cases, the middle meatus with cheese-like discharge in 9 cases, 9 cases of the uncinate process hypertrophy , deviation of nasal septum in 4 cases. 58 patients were preoperative sinus CT examination showed ipsilateral Douqiang mucosal thickening, cavity formation of high-density clumps of soft tissue shadow, in spots of high-density calcification, associated with bone wall thickening or absorbing bone destruction. Limited to 45 cases in which maxillary sinus, involving the anterior ethmoid sinus in 12 cases, 1 case of bilateral maxillary sinus fungus ball, the rest were unilateral disease, the right side in 2