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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Diagnosis and endoscopic surgery of chronic invasive fungal rhinosinusitis
1Department of Otolaryngology-Head and Neck Surgery, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China. lyqzxc1@163.com
Background:
Chronic invasive fungal rhinosinusitis (CIFRS) was thought to be a rare fungal disease of the sinus but is becoming increasingly common. Methods for the early diagnosis of CIFRS and treatment efficacy have not been thoroughly explored. This study was designed to summarize the diagnosis and endoscopic surgical treatment of a group of patients with CIFRS.
Methods:
Twenty-eight cases of CIFRS treated by nasal endoscopic sinus surgery between January 2000 and December 2006 were retrospectively analyzed.
Results:
Each case underwent nasal endoscopic debridement surgery; six cases with progressive symptomatology were given systemic broad-spectrum antifungal drugs for at least 12 weeks after the operation. Long-term outcome was positive in most cases. Twenty-three cases were cured while five recurred, of which two recurred within 6 months. Four cases underwent further endoscopic surgery, two were subsequently cured, one died of severe intracranial Mucor infection, and one was lost to follow-up. The overall cure rate was 89.3%.
Conclusion:
Endoscopic surgery is an effective and microinvasive therapy for patients with CIFRS. The procedure includes elimination of the diseased sinus mucosa with or without simultaneous administration of broad-spectrum antifungal medicines. Early diagnosis of CIFRS and surgical nasal sinus debridement can improve prognosis.
Insights
Chronic invasive fungal rhinosinusitis (CIFRS) is increasingly common. Endoscopic sinus surgery offers an effective treatment, with early diagnosis and debridement improving patient outcomes.
Area of Science:
- Otolaryngology
- Mycology
- Surgical Innovation
Background:
- Chronic invasive fungal rhinosinusitis (CIFRS) is an emerging fungal sinus disease.
- Diagnostic methods and treatment efficacy for CIFRS require further investigation.
- This study focuses on the diagnosis and endoscopic surgical management of CIFRS.
Purpose of the Study:
- To summarize the diagnostic approaches for CIFRS.
- To evaluate the efficacy of endoscopic sinus surgery in treating CIFRS.
- To analyze the outcomes of CIFRS patients treated surgically.
Main Methods:
- Retrospective analysis of 28 CIFRS cases treated between 2000 and 2006.
- All patients underwent nasal endoscopic debridement surgery.
- Systemic antifungal drugs were administered post-operatively in select cases with progressive symptoms.
Main Results:
- Nasal endoscopic debridement surgery was performed on all patients.
- An overall cure rate of 89.3% was achieved.
- Recurrence occurred in five cases, with two within 6 months; some required further surgery or systemic antifungals.
Conclusions:
- Endoscopic surgery is a safe and effective microinvasive therapy for CIFRS.
- Combining surgical debridement with antifungal medication can enhance treatment outcomes.
- Early diagnosis and prompt surgical intervention are crucial for improving CIFRS prognosis.
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