Value of investigation in the diagnosis of allergic fungal rhinosinusitis: results of a prospective study

Abstract

The authors report a prospective study in which the aim was to analyse the usefulness of different criteria in optimizing the diagnosis of allergic fungal rhinosinusitis. From 1995 to 1998, 165 patients were operated on for chronic rhinosinusitis. Investigations used in this study for the diagnosis of allergic Aspergillus rhinosinusitis consisted of an analysis of clinical, radiological, immuno-allergic criteria. Fourteen patients presented with allergic Aspergillus rhinosinusitis. One hundred and fifty-one patients did not present any of the necessary criteria for the diagnosis of allergic Aspergillus rhinosinusitis. The results show that the characteristic macroscopic appearance, the maxillary sinus localization, and the presence of positive specific IgE to Aspergillus fumigatus are arguments that reinforce the diagnostic certitude of allergic fungal sinusitis. No specific clinical or radiological criteria orients a diagnosis of chronic rhinosinusitis toward that of allergic fungal rhinosinusitis. The other immuno-allergic tests do not contribute to the diagnosis of allergic fungal rhinosinusitis. pathological, mycological, and

New tools for preoperative diagnosis of allergic fungal sinusitis? A prospective study about 71 patients

“…Among included 71 patients, 9.8% had AFS which is comparable to data in other studies . Clusters method indicates that an AFS endotype can be defined by: allergic background, unilateral or bilateral pansinusitis, headache, allergic mucin and fungal material observed during surgery.…”

Evaluation of the prevalence and specificities of asymptomatic paranasal sinus aspergillosis: Retrospective study of 59 cases

“…Endonasal middle meatal antrostomy appears to be the technique of choice at the present time, as it is less invasive than the vestibular approach [1,5,12,13]. However, it is more difficult to control the floor of the maxillary sinus via the endonasal route than via the vestibular route.…”

Évaluation de la prévalence et spécificités de l’aspergillose sinusienne asymptomatique : étude rétrospective sur 59 cas

“…La méatotomie moyenne par voie endonasale apparaît comme la technique de choix à l'heure actuelle, car moins invasive que la voie vestibulaire [1,5,12,13].…”