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Volume 2 Issue 3 (July-September, 2014)

Original Articles

To determine the fungal diseases of nose and paranasal sinuses
Rajeev Kumar

Aim: To determine the fungal diseases of nose and paranasal sinuses. Methods: A total of 80 patients with clinical characteristics indicative of fungal infection of the nose and paranasal sinuses were examined using a standard pro forma and performed the following investigation techniques when indicated. As preliminary investigations, hemograms, blood sugar levels, serum electrolytes, serum protein, blood grouping, and other tests were performed to examine the overall health state and rule out any underlying illnesses. All patients had relevant X-rays of the nose and paranasal sinuses obtained, and those who were tentatively diagnosed with fungal granulomas had CT scanning of the nose, paranasal sinuses, and brain with contrast enhancement investigations. Results: In our research, all patients had nasal symptoms 80. (100 percent ). Nasal blockage, nasal discharge, postnasal discharge, frequent sneezing, diminished or full loss of smell (anosmia), and nasal bleeding are the symptoms. In our research, 20% of participants had proptosis, epiphora, diplopia, or blurred vision. In our research, 80 patients had fungal culture. Thirty are Aspergillusflavus, nine are Aspergillus fumigates, eight are Aspergillusniger, and three are Aspergillusterreus. In our analysis, the maxillary sinus was involved in 81.25 percent of cases. Next, 75 percent of the ethmoid sinus, 45 percent of the frontal sinus, 53.75 percent of the sphenoid sinus, and 31.25 percent of all sinuses are involved. Conclusion: Our series of 80 patients was histopathologically proved to be allergic Aspergillus sinusitis in almost all of them. CT was shown to be quite useful for preoperative assessment and intraoperative guiding. Fungal sinusitis was associated with nasal polyposis.

 
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