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Updated: Aug 30, 2026

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Published on: March 1, 2024
Classification of fungal sinusitis in immunocompetent patients
Nechama Uri1, Raanan Cohen-Kerem, Irit Elmalah
1Otolaryngology-Head and Neck Surgery, Carmel Medical Center, 7 Michal St, Haifa 34362, Israel. druri@netvision.net.il
Objective:
The objective of this study was to review the subgroup classification of fungal sinusitis in immunocompetent patients.
Methods:
The study design included 19 immunocompetent patients with fungal sinusitis who were operated on between 1993 and 1998.
Results:
Ten of 19 patients showed a fungus ball. They underwent a limited surgical endoscopic procedure, and no further treatment was needed. Four patients had allergic fungal sinusitis and were treated postoperatively with irrigation, topical steroids, and oral steroids in 2 patients as well. Five patients had chronic sinusitis with significant bone erosion. All 5 underwent an extensive endoscopic procedure and were treated postoperatively by repeated irrigation, endoscopic cleaning, and no antifungal preparation. Two patients of this group are reported broadly.
Conclusions:
Fungal sinusitis in immunocompetent patients is not a rare condition and can be divided into 3 categories: 1) fungus ball, 2) chronic erosive (noninvasive) fungal sinusitis, and 3) allergic fungal sinusitis. The symptomatology, treatment, and prognosis varied significantly among the 3 different categories.
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The first classification is based on the development of the disease, and it includes the following categories: