Abstract

Invasive Fungal Sinusitis: Common Imaging Findings and Co-Relation with Intraoperative Features; A Retrospective Multi-Institutional Analysis and Review of Literature

Highlights

  • Acute Invasive Fungal Sinusitis has become increasingly recognized as an important entity, as, uncommon, it has a rapid clinical course and high morbidity and mortality

  • This study aims to assess the imaging findings commonly found in these patients, and the correlation with intraoperative findings, and see if the combination of both can improve the diagnostic yield, and review the existing literature regarding the same

  • The data was assessed regarding the initial imaging study, either CT scan or MRI or both, and the first nasal endoscopy report was reviewed for the findings in patients of Invasive fungal sinusitis and statistical analysis done

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Summary

Introduction

Acute Invasive Fungal Sinusitis has become increasingly recognized as an important entity, as, uncommon, it has a rapid clinical course and high morbidity and mortality. Due to the rarity of the disease, treatment and diagnostic controversies still exist. It is most commonly seen in immunocompromised individuals there are reported cases occurring in people without immune deficiency too [1]. One of the more challenging aspects in the management of this disease is early diagnosis, as the clinical symptoms can be myriad, the imaging findings are nonspecific and subtle, and nasal endoscopy may often show only mucosal pallor or even normal mucosa in the early stages. This study aims to assess the imaging findings commonly found in these patients, and the correlation with intraoperative findings, and see if the combination of both can improve the diagnostic yield, and review the existing literature regarding the same

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