Fungal sinusitis among patients with chronic rhinosinusitis who underwent endoscopic sinus surgery

Leszczyńska, Joanna; Stryjewska-Makuch, Grażyna; Lisowska, Grażyna; Kolebacz, Bogdan; Michalak-Kolarz, Marta

doi:10.5604/01.3001.0012.1263

Cited by 9 publications

(12 citation statements)

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“…In the context of co-occurrence of voice and swallowing dysfunction caused by abnormal muscle tension, it is reasonable to apply similar methods of rehabilitation. Functional voice therapy used successfully in dysphonias to restore muscle functionality may by prescribed for patients with MTDg [ 1 , 12 , 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

et al. 2021

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Introduction: Over the past few years, attention has been paid to the coexistence of dysphonia with dysphagia, in the context of functional disorders. The aim of this work was to objectify logopaedic examination of dysphonic patients with coexisting swallowing difficulties by surface electromyography. Methods: The material of the work included 58 patients with muscle tension dysphonia (MTD). Each patient underwent otolaryngologic, phoniatric and logopaedic examination. We collected information about medical history and asked patients to fill out Reflux Symptom Index (RSI), Eating Assessment Tool (EAT-10), Dysphagia Handicap Index (DHI) and Swallowing Disorder Scale (SDS). The algorithm of dysphagia diagnostics in our clinic assumes parallel surface electromyography (SEMG) during Functional Endoscopic Evaluation of Swallowing. Results: In comparison to patients suffering from atypical swallowing, patients with muscle tension dysphagia (MTDg) obtained higher values from almost all questionnaires. Logopaedic evaluation revealed abnormalities in the structure and efficiency of the articulatory organs and in the assessment of primary functions. Patients with more abnormalities in logopaedic examination had significantly higher infrahyoid muscle activity during swallowing observed in EMG. Patients with non-normative swallowing pattern had significantly greater asymmetry of the average and maximum amplitude of masseters, as well as submental muscles. Patients with higher percent of muscles asymmetry gained higher scores in questionnaires. Conclusions: Surface electromyography objectifies logopaedic examination of patients with swallowing difficulties. The results of this work showed that, apart from longer swallows, patients with MTDg differ from patients with non-normative swallowing patterns in the muscle activity measured by SEMG, abnormalities in logopaedic evaluation and the severity of complaints reported by patients.

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Section: Discussionmentioning

confidence: 99%

Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

et al. 2021

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“…Patients with allergy to molds have a clinically milder type of AR; however, they have a significantly greater predisposition for bronchial asthma. The value of FeNO did not correlate with any type of allergen, but it was significantly higher in patients with monovalent allergy to molds [7]. The study further adds to the existing knowledge on the clinical behavior of the allergic phenotype of COPD by demonstrating fungal sensitization due to other, non-Aspergillus fungi such as A. alternata, S. commune and Rhizopus spp.…”

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confidence: 59%

Patterns in Google Trends Terms Reporting Rhinitis and Alternaria Season in Ukraine

Kaidashev

Morokhovets

Rodinkova

et al. 2020

Med. and Ecol. probl.

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У статті представлено літературний огляд проблеми використання інноваційних інструментів веб-спостереження, зокрема Google Trends (GT), з метою визначення точного початку сезону спор цвілі. Алергія на цвіль є значним пусковим механізмом розвитку поширених респіраторних розладів – алергічного риніту та астми, хронічного обструктивного захворювання легень тощо. Метою дослідження було вивчення сезонності запитів GT в Україні з кількістю спор Alternaria. Спори роду Alternaria – найпоширеніша складова повітря у всіх регіонах світу, що утворюють інфекційний посівний матеріал численних видів рослин, а також спричиняють важку інгаляційну алергію. Точне визначення настання сезону спор цвілі є вирішальним для підтвердження діагнозу алергії на цвіль та розробки персоналізованого лікування для пацієнтів з алергічним ринітом та астмою. Найбільш комплексним підходом є розвиток загальноєвропейської мережі моніторингу, яка поєднує всі ці стратегії. GT може бути корисним інструментом для диференціації сезонів спор Alternaria, особливо коли вони співпадають з сезоном цвітіння амброзії. Чотири терміни "нежить", "сльози", "задишка" та "кашель" (кирилицею) слід використовувати в Україні для пояснення впливу спор Alternaria. Поєднання запитів GT з кількістю спор може бути використано в масштабних епідеміологічних дослідженнях. Розвиток загальноєвропейської сигнальної мережі моніторингу алергічних захворювань зумовлює проблему перекладу пошукових термінів різними європейськими мовами. Отримані результати можна використовувати як ефективний інструмент запобігання або мінімізації впливу алергену на пацієнтів під час сезону Alternaria.

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“…Fungal spores are present ubiquitously in inhaled air and can be cultured in nearly 100% of patients regardless of comorbid CRS. 12,17,18 Why certain otherwise healthy patients develop fungal rhinosinusitis is not known. No literature to date has shown a correlation between fungal rhinosinusitis incidence/severity and fungal load or species, a clear role for topical antifungal therapy, or an increase in an eosinophil-driven immune responses or interleukin 5 production with fungal antigen exposure in CRS.…”

Section: Discussionmentioning

confidence: 99%

Histopathologic Features of Chronic Rhinosinusitis in Diabetic Patients

Talati

Brown

Kim

et al. 2023

Otolaryngol.--head neck surg.

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Objective. To explore how diabetes mellitus impacts chronic rhinosinusitis clinically and on structured histopathology to provide insights on new potential chronic rhinosinusitis endotypes.Study Design. Retrospective cohort study. Setting. Tertiary academic center.Methods. A retrospective study of chronic rhinosinusitis patients who underwent functional endoscopic sinus surgery from 2015 to 2020 was performed. Structured 13-variable histopathology reports were generated from intraoperative sinonasal specimens. These variables were compared against demographic factors, comorbidities, culture data, and preoperative Lund-Mackay and SNOT-22 scores using logistic regression.Results. There were 411 patients, including 52 diabetics. Diabetes was associated with higher mean body mass index (34.9 vs 29.2; p < .001), age (57.8 vs 48.0; p < .001), and Gram-negative (40.2% vs 22.7%; p < .030) and coagulasenegative Staphylococcus (49.0% vs 28.5%; p = .008) culture rates. Black (23.1% vs 18.7%) and Hispanic (23.1% vs 8.6%) races were more common with diabetes (p = .026). Gender, smoking, polyp status, and Lund-Mackay and SNOT-22 scores did not differ between groups. Diabetics had more fungal elements (13.5% vs 3.3%, p = .018); no other histopathological differences were seen. When controlling for demographic variables and comorbidities, diabetes independently predicted the presence of fungal elements (HR 4.38, p = .018). Conclusion.Diabetic chronic rhinosinusitis patients demonstrated increased fungal elements on structured histopathology. Other histopathological features were unaffected by diabetes. These findings may have important implications on the medical and surgical management of diabetic chronic rhinosinusitis patients in which early fungal disease assessment is paramount.

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Fungal sinusitis among patients with chronic rhinosinusitis who underwent endoscopic sinus surgery

Abstract: The most common form of non-invasive fungal sinusitis is the so-called fungus ball, which was also confirmed in our report (95% of the test subjects). AFRS is more likely to occur in warm, moist climates that favour the growth of fungi.

Cited by 9 publications

References 0 publications

Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

Clinical and Electromyographic Assessment of Swallowing in Individuals with Functional Dysphonia Associated with Dysphagia Due to Muscle Tension or Atypical Swallowing

Patterns in Google Trends Terms Reporting Rhinitis and Alternaria Season in Ukraine

Histopathologic Features of Chronic Rhinosinusitis in Diabetic Patients

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