ORBITAL COMPLICATIONS OF ASPERGILLUS FUNGAL RHINOSINUSITIS AND ITS MANAGEMENT

Dr Janki oza, Dr Neena Bhalodiya, Dr Simple Bhadania, Dr Krupa Suvagiya

Abstract


INTRODUCTION: Fungal rhinosinusitis (FRS) can be categorized into invasive and non-invasive, based on the presence or absence of fungus in
the tissue. Aspergillosis is the commonest fungal infection. Complications of rhinosinusitis are classified as orbital, intra-cranial, bony or chronic.
AIMS: Aim of the study is to investigate acute ophthalmological manifestations, prompt diagnosis, management and outcomes of aspergillous
fungal sinusitis.
MATERIALS AND METHOD: We have retrospectively reviewed 17 patients having aspergillus fungal sinusitis; out of which 8 patients
presented with orbital complications at GMERS medical college and hospital, sola from February 2017 to February 2019. In all the patients gender,
age, occupation, symptoms and detailed history; followed by nasal endoscopy and contrast enhanced CT PNS was done. Functional endoscopic
sinus surgery with supportive treatment of oral antifungal, oral or topical corticosteroids, antihistaminics was given. Strict regular follow up for
suction clearance was advised.
RESULTS: Postoperatively, orbital symptoms were completely relieved in most patients. All patients have been on regular follow up, with nasal
endoscopic examination and suction clearance to prevent recurrence.
CONCLUSION: Orbital extension of acute sinusitis is a diagnostic and therapeutic emergency. Prompt surgical management (FESS) with
complete clearance of disease followed by supportive treatment is must.


Keywords


rhinosinusitis, aspergillosis, chandlers classification, FESS, proptosis, diplopia

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