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Fungus in Sinus Disease

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Diseases of the Sinuses

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Abstract

Fungal rhinosinusitis presents with several distinct clinical manifestations, determined by the presence or absence of tissue invasion as well as the host’s response to the fungus. Changing terminology and pathogenic theories create confusion in the proper classification, diagnosis, and management of fungal sinusitis. The contention that environmental fungi are the cause of most cases of chronic rhinosinusitis is another source of controversy. However, antifungal treatment does not appear to be effective for chronic rhinosinusitis. The diagnosis and treatment of fungal sinusitis usually requires a surgical approach, with ongoing medical management for some cases. Allergic fungal sinusitis is treated with anti-inflammatory agents, while antifungal agents are employed in cases of invasive fungal sinusitis.

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Acknowledgments

The authors would like to thank Dr. Jason Mull, M.D., Assistant Professor, Pathology, University of Texas Southwestern Medical Center, for the histopathological figures used in this chapter.

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Authors and Affiliations

  1. Department of Otolaryngology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9035, USA

    Matthew W. Ryan MD

  2. Department of Otolaryngology, Singapore General Hospital, Outram Road, 169608, Singapore, Singapore

    Ng Yuk Hui MBBS, FAMS

  3. Department of Otolaryngology, Head and Neck Surgery, King Abdulaziz University Hospital, King Saud University, Prince saud ibn saud street, Riyadh, 102502, 11685, Saudi Arabia

    Mohammad O. Aloulah MBBS, KSUF

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  1. Matthew W. Ryan MD
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  2. Ng Yuk Hui MBBS, FAMS
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  3. Mohammad O. Aloulah MBBS, KSUF
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Corresponding author

Correspondence to Matthew W. Ryan MD .

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Editors and Affiliations

  1. Division of Allergy and Immunology, Department of Pediatrics, Thomas Jefferson University, Wilmington, Delaware, USA

    Christopher C. Chang

  2. Division of Rheumatology, Allergy and Clinical Immunology, University of California School of Medicine, Davis, California, USA

    Gary A. Incaudo

  3. The Jack and Donald Chia Distinguished Professor of Medicine, Division of Rheumatology, Allergy and Clinical Immunology, University of California School of Medicine, Davis, California, USA

    M. Eric Gershwin

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Ryan, M.W., Hui, N.Y., Aloulah, M.O. (2014). Fungus in Sinus Disease. In: Chang, C., Incaudo, G., Gershwin, M. (eds) Diseases of the Sinuses. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-0265-1_8

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  • DOI: https://doi.org/10.1007/978-1-4939-0265-1_8

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