[Noninvasive and invasive naso-sinus fungus: 35 cases report].
OBJECTIVE
To study the clinical features, diagnosis and management of nose and nasal sinuses fungus.


METHODS
Different manner of surgical procedure was taken according to the areas and degree of pathological changes. The patients with noninvasive fungus were treated with radical maxillary sinusotomy (cald-well-Luc operation) or endoscopic sinus surgery. The patients with invasive form were undergone by the sinusotomy of enlarging areas, and combined with a postoperatively antifungal therapy.


RESULTS
Twenty-six patients were involved in noninvasive fungus, and 25 cases in them were cured in single surgery through different manner. Nine patients were in invasive one, and 7 in them were also cured by single surgery in different manner. One patient with invasive fungus died 5 months postoperatively for extensive area and non effective treatment although four surgical excisions were done.


CONCLUSIONS
CT scan is very important in their diagnosis, and the histopathology leads to identification of the fungus. Surgical removal is a radical kind of treatment. It is essential to excise and open entirely the involved sinus cavity whatever type,and to enlarge areas for the extensive invasive fungus.
Cai
Xiahong
X
Department of Otorhinolaryngology, the Third Hospital of Yueyang City, Yueyang 414000.
Guo
Yunkai
Y
D000293:Adolescent; D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008443:Maxillary Sinus / Q000601:surgery*; D009181:Mycoses / Q000175:diagnosis / Q000601:surgery*; D009296:Nasal Cavity / Q000382:microbiology; D012852:Sinusitis / Q000175:diagnosis / Q000382:microbiology / Q000601:surgery*