[Evaluation of endoscopic sinus surgery treat fungal rhinosinusitis]

Jiantao Liu1

  • 1Department of Otolaryngology, Yaan City People's Hospital, Yaan, 625000, China. gjlr@21cn.com

Abstract

Insights

Endoscopic sinus surgery effectively treats chronic invasive fungal rhinosinusitis. This procedure, functional endoscopic sinus surgery (FESS), offers a high cure rate without requiring antifungal medication.

Area of Science:

  • Otolaryngology
  • Rhinosinusitis Research
  • Fungal Infections

Background:

  • Chronic invasive fungal rhinosinusitis presents a significant clinical challenge.
  • Treatment often involves complex surgical and medical interventions.

Purpose of the Study:

  • To evaluate the efficacy of functional endoscopic sinus surgery (FESS) for chronic invasive fungal rhinosinusitis.
  • To determine the necessity of adjunctive antifungal medication post-FESS.

Main Methods:

  • Retrospective analysis of 63 cases diagnosed with chronic invasive fungal rhinosinusitis.
  • Application of the Messerklinger technique for endoscopic sinus surgery.
  • Routine postoperative sinus irrigation protocols were followed.

Main Results:

  • A follow-up period of 6 months to 1 year was conducted.
  • Nearly all patients achieved a cure following FESS.
  • A small number of patients experienced mild, manageable complications.

Conclusions:

  • Functional endoscopic sinus surgery (FESS) demonstrates high effectiveness in treating chronic invasive fungal rhinosinusitis.
  • Antifungal medication may not be necessary following successful FESS.
  • FESS offers a promising surgical solution for this condition.