title: Fungal rhinosinusitis in patients with chronic sinusal disease.
abstract: OBJECTIVE
  Fungal rhinosinusitis in patients with chronic sinusal disease study. In the past decades, there has been an increase in fungal infections, and fungal rhinosinusitis (FRS) has been diagnosed more frequently. Knowing the fungal flora, its prevalence and symptomatic presentation in patients with chronic rhinosinusitis (CRS) will allow a better understanding of this disease, permitting a correct diagnosis, and treatment and formulating its prognosis.
  
  
  METHODS
  clinical retrospective with transversal cohort.
  
  
  METHODS
  62 patients diagnosed with FRS were selected among 890 cases of CRS undergoing endoscopic surgery. We assessed clinical history otolaryngologic examination with nasal videoendoscopy, CT scan, microbiologic and histopatologic tests.
  
  
  RESULTS
  The prevalence of FRS was 6.7% and the fungal type most frequently found was the gender Aspergillus. Fungal ball was found in more than half the cases, and allergic fungal rhinosinusitis (AFRS) in more than one third of the patients. Evolution after endoscopic sinus surgery was more favorable in patients with fungus ball, with a minor number of recurrences.
  
  
  CONCLUSIONS
  The symptomatic evolution following endoscopic surgery was more favorable in patients with fungal ball, who require a lower number of re-interventions.
authors.affiliation: Hospital de Clínicas de Porto Alegre, UFRGS.
authors.forename: Celso
authors.initials: C
authors.lastname: Dall'Igna
authors.forename: Bruno Carlos
authors.initials: BC
authors.lastname: Palombini
authors.forename: Fabio
authors.initials: F
authors.lastname: Anselmi
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Araújo
authors.forename: Daniela Pernigotti
authors.initials: DP
authors.lastname: Dall'Igna
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002908:Chronic Disease; D015331:Cohort Studies; D004724:Endoscopy; D005260:Female; D005658:Fungi / Q000145:classification / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009181:Mycoses / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D015995:Prevalence; D012008:Recurrence; D012189:Retrospective Studies; D012220:Rhinitis / Q000382:microbiology* / Q000601:surgery; D012852:Sinusitis / Q000382:microbiology* / Q000601:surgery