Characteristics of patients with diagnosed chronic fungal rhinosinusitis surgically treated in the past five years

Abstract

Introduction/Objective Fungal rhinosinusitis comprises of a wide range of immune-pathological responses, including invasive, chronic, granulomatous, and allergic diseases. Aim of this study was to determine total number of patients, their characteristics, frequency of symptoms, the manner of disease manifestation and the success of therapy. Methods Study included 21 patients with diagnosis FRS made according to the 2012 EPOS guidelines. Results Based on VAS(visual analogue scale), feeling of localized pressure, ie. facial pain was dominant in 9.57 ? 0.98, than the secretion from the nose is 8.14 ? 1.62, problem of the breathing on the nose in 6.67 ? 3.25, while reduction the sense of smell was in 2.14 ? 3.00. T-test showed there is a statistically significant difference between mucosal changes on the diseased and healthy sides of the patient's face (p <0.0001). Intraoperative in 18 (85.71%) patients only one sinus was affected. The most commonly affected sinus was maxillary, in 13 (54.17%) cases, followed by sphenoid sinus in 5 (20.83%) cases. As a cause of rhinosinusitis Aspergillus was proven in 12 (57.14%) patients. Conclusion The dominant symptom of patients with fungal rhinosinusitis was localized pain / pressure in the area of the affected sinus. Endoscopically, on the side of the affected sinus, the pathological mucosa with thick, pithy, mucous secretion dominated. The maxillary sinus is primarily unilaterally affected, in more than half of the patients. Aspergillus has been proven to be the most common cause of rhinosinusitis.