Mycotic Sinusitis

Overview

The authors analyze a group of 14 patients with mycotic infection of the nasalcavity and paranasal sinuses. In 12 instances Aspergillus infection was involved and in two casesCandida infection. In 10 instances the mycosis was combined with bacterial infection – Grampositive and Gram negative microorganisms. Six patients were treated on a long-term basis withantibiotics. As to local predisposing factors, in nine instances chronic relapsing bacterial sinusitiswas found, in seven instances nasal polyps, in five instances a bullous middle concha and in threeinstances deviation of the nasal septum. The diagnosis was based on CT examination, rhinoendoscopyand histological examination which classfied the disease. In six instances a non-invasiveunilateral aspergillosis of the maxillary sinus was involeved, in one instance the maxillary sinusand ethmoid sinuses, in two instances the sphenoid cavity and in two instances the bullous middleconcha and maxillary sinus. Candida infection affected in one case the maxillary sinus and in onecase the maxillary sinus and the anterior ethmoid sinuses. All patients were subjected to rhinoendoscopicintervention. In five instances a combined operation was performed using also an externalapproach. In three instances the operation was safeguarded by antimycotics. After treatment thepatients had no relapses.

Key words:
mycosis aspergillosis, candidosis of the nasal and paranasal sinuses, rhinoendoscopicsurgery.