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KMID : 0378020070500050019
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New Medical Journal
2007 Volume.50 No. 5 p.19 ~ p.23
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Clinical Analysis of Isolated Shenoid Fungal Sinusitis
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Lee Chang-Hoon
Yun Chang-Hyun
Park Jae-Won
Kim Soo-Whan
Cho Jin-Hee
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Abstract
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Background and Objectives : Isolated sphenoid fungal sinusitis are a rare disease and have severe complications such as cranial nerve palsies due to its deep location in the skull. Thanks in part to the advance of both endoscopic and imaging technology, diagnosis and management of isolated sphenoid fungal sinusitis have been better defined. We report our experiences of 19 cases with a review of articles.
Material and Methods : Nineteen patients with isolated sphenoid fungal sinusitis who were treated at Catholic University of Korea from May 2002 were analyzed. A retrospective chart review was performed with respect to the patient’s symptom, pathology, radiologic findings and surgical outcome.
Results: Aspergillus species are the most common contaminants found in the isolated sphenoid fungal sinusitis. Invasive forms of fungal infection were found in 3 cases of all 19 cases. Headache was the most common symptom (94.7%), followed by diplopia (42.1%), posterior nasal drip (36.8%), blurred vision (31.6%). The most common CT finding was bony wall sclerosis (89.4%). Endoscopic transnasal sphenoidotomy was performed in all cases. Symptoms were completely improved in 17 cases after operation and ophthalmologic symptoms persisted in 2 cases.
Conclusions: Isolated sphenoid fungal sinusitis was necessarily suspected in patients who had headache, especially in immuno-compromised state. And the diagnosis and man-agement must be processed as soon as possible because various severe complications are developed due to anatomical position of sphenoid sinus.
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KEYWORD
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Sphenoid sinus, Fungal sinusitis
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