Rinosinusitis fúngica invasiva aguda: Actualización en pacientes adultos y pediátricos

R, Maximiliano Penna; A, Luis Barahona; M, Paula Ruz; P, Constanza Valdés

doi:10.4067/s0718-48162019000300366

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…Treatment of children is complex and includes the elimination of inflammation, restoration of patency of the natural ostia of the paranasal sinuses, eradication of the pathogen, prevention of complications, and a local immunomodulatory therapy (by medical prescription) (Maximiliano et al 2019;Din-Lovinescu et al 2020). With a severe course of CPR (a large amount of purulence, pronounced general symptoms and general intoxication), the treatment begins with antibacterial drugs.…”

Section: Features Of Cpr In Childhoodmentioning

confidence: 99%

Modern approaches to the treatment of chronic polypous rhinosinusitis

Bairashevskaia¹,

Kytko²,

Vasil’ev³

et al. 2020

RRP

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Introduction: Today, chronic polypous rhinosinusitis (CPR) occupies a special place among otolaryngological diseases, the incidence rate of which increases every year. To date, the main causes of chronic polypous rhinosinusitis are Staphylococcus aureus and anatomical abnormalities. Diagnostics: Knowledge of a universal algorithm for the diagnosis of this disease, consisting of the collection of anamnesis, endoscopic examination of the nasal cavity, computed tomography of the paranasal sinuses, anterior active rhinomanometry and bacteriological determination of the microbial spectrum, allows diagnosing chronic polyposis rhinosinusitis in time, and, as a consequence, to prescribe a treatment. Treatment: This review describes conservative therapies, including antibiotics and glucocorticosteroids. Today, the main task of doctors is to find the most effective method of administration of glucocorticosteroids to achieve the maximum effect. One of these methods is the introduction of the drug with the help of nebulizer, as in this case, the drug will remain in the perirhinal cavity for a long time and have the maximum effect due to the directed action only in the area of the pathological process. Features of chronic polypous rhinosinusitis in childhood: It should be noted that children under 12 years of age due to the formation of the paranasal sinuses at different stages of ontogenesis will be characterized by different forms of chronic polyposis rhinosinusitis. That is why they should be known and taken into account when making a diagnosis and prescribing a treatment. Conclusion: Today, the frequency of chronic rhinosinusitis increases exponentially, which makes the question of the modern approach to its treatment the most relevant. It is possible that additional research in this area will solve the issue of searching for both the optimal path of therapy and treatment of CPR in children.

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Section: Features Of Cpr In Childhoodmentioning

confidence: 99%

Modern approaches to the treatment of chronic polypous rhinosinusitis

Bairashevskaia¹,

Kytko²,

Vasil’ev³

et al. 2020

RRP

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Destructive midline facial lesions secondary to cocaine use in the otolaryngology office of the Diagnostic Otolaryngology Instituteotorhinolaryngological office of the Instituto de Diagnósticoand Surgery Institute of Rosario (Argentina), year 2023

Hadad,

Bassagaisteguy

2023

SCT Proceedings in Interdisciplinary Insights and Innovations

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Introduction: Cocaine use is associated with chronic inflammation of the sinonasal mucosa that can result in destruction of the nose, palate, and pharyngeal and paranasal tissues. Objective: To describe the destructive lesions of the facial midline secondary to cocaine consumption presented by patients attending the otorhinolaryngological office of the Diagnostic and Surgical Institute of the city of Rosario in the year 2023. Materials and methods: Quantitative, descriptive, observational, cross-sectional and retrospective study, carried out at the Instituto de Diagnóstico y Cirugía. The study population consisted of all patients of legal age, regardless of sex, who presented destructive lesions of the facial midline secondary to cocaine use. Data collection was performed through medical records after informed consent of the patients. Variables were analyzed through absolute and relative percentage frequencies and summarized through central position measures and dispersion measures. Results: Five patients with destructive lesions of the facial midline were analyzed, 100% of them were men with a mean age of 33.20 ± 16.07 years (min. 17; max. 55). Eighty percent presented necrotizing ulceration, accompanied by crusting (40%), hemorrhage (40%), edema and swelling of the turbinates (20%). Eighty percent (n=4) presented lesions in the quadrangular cartilage, 40% (n=2) in the head of the middle and inferior turbinates and the anterior portion of the vomer respectively. The frequent symptoms of the destructive lesions of the facial midline were nasal congestion, hypoesthesia and anesthesia of the area, serous mucorrhea and bloody mucorrhea in 100% of the cocaine users. Secondary complications were rhinitis due to S.aureus, osteitis and ostiomyelitis, intense and intermittent hemorrhage, saddle nose due to quadrangular cartilage lesion and wide nasolaryngeal communication. Conclusion: in the study it was observed that cocaine users during the third decade of life frequently develop destructive lesions of the facial midline, which produce symptoms such as nasal congestion, hypoesthesia and bloody mucorrhea. In the study, 80% had ulcers and scabs in multiple locations, including the quadrangular cartilage, turbinates and vomer. Complications included S. aureus rhinitis, osteitis, ostiomyelitis, saddle nose and nasal-oral communication

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Rinosinusitis fúngica invasiva aguda: Actualización en pacientes adultos y pediátricos

Abstract: Los autores declaran no tener conflictos de interés.

Cited by 2 publications

References 17 publications

Modern approaches to the treatment of chronic polypous rhinosinusitis

Modern approaches to the treatment of chronic polypous rhinosinusitis

Destructive midline facial lesions secondary to cocaine use in the otolaryngology office of the Diagnostic Otolaryngology Instituteotorhinolaryngological office of the Instituto de Diagnósticoand Surgery Institute of Rosario (Argentina), year 2023

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