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Diagnostic Method and Instrumentation in Rhinology

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Essentials of Rhinology

Abstract

Fungal rhinosinusitis is one of the major subtypes of chronic rhinosinusitis. It is classified into invasive and non-invasive types. Surgical clearance is the primary treatment method for non-invasive type. Non-invasive fungal sinusitis may convert into invasive type to some extent. The invasive is managed by debridement and long-term antifungal therapy. The prognosis of invasive type is poor than non-invasive type. Prophylactic, incomplete, and unnecessary prolong treatment raised the possibility of drug resistance. Proper identification of the causative organism, drug sensitivity against it, and treatment duration reduces the risk of relapse of disease and drug resistance which intern improves the quality of life. The correct diagnosis of the causative fungal organism is possible if the samples extract in correct way, timely transport to the laboratories, etc. New serological tests allow early identification of tissue invasion. Radiological interventions are commonly done for tissue diagnosis especially in hidden areas which require extensive exposure for biopsy such as high infratemporal fossa, cranial tumor eroding middle and posterior skull base. Interventions are also indicated to control traumatic bleeding and to reduce the vascularity of vascular lesions. The procedures are performed under image guidance in the head and neck region include those performed for obtaining diagnostic information or for therapeutic intent.

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Authors and Affiliations

  1. Microbiology, AIIMS, New Delhi, India

    Gagandeep Singh, Immaculata Xess & Hitender Gautam

  2. Radiology, AIIMS, New Delhi, India

    Ankur Goyal & Ashu Seith Bhalla

  3. Nuclear Medicine, AIIMS, New Delhi, India

    Shamim Ahmed Shamim

  4. ENT, NIGRIMS, Shillong, Meghalaya, India

    Zareen Lynrah & Pradip Kumar Tiwari

  5. ENT, AIIMS, Raipur, Chhattisgarh, India

    Ripu Daman Arora, Nikhil Singh & Nitin M. Nagarkar

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  1. Gagandeep Singh
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Correspondence to Ripu Daman Arora .

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Editors and Affiliations

  1. Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India

    Hitesh Verma

  2. Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India

    Alok Thakar

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Singh, G. et al. (2021). Diagnostic Method and Instrumentation in Rhinology. In: Verma, H., Thakar, A. (eds) Essentials of Rhinology. Springer, Singapore. https://doi.org/10.1007/978-981-33-6284-0_5

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  • DOI: https://doi.org/10.1007/978-981-33-6284-0_5

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