Turecka Lucyna, Mrówka-Kata Katarzyna, Czecior Eugeniusz, Namysłowski Grzegorz, Banert Katarzyna, Scierski Wojciech
Katedra i Oddział Kliniczny Laryngologii w Zabrzu Slaskiego Uniwersytetu Medycznego w Katowicach.
Otolaryngol Pol. 2008;62(4):489-91. doi: 10.1016/S0030-6657(08)70300-7.
The frequency of fungal etiology of sinusitis contains between 9 and 49 % according to different authors. Fungal rhinosinusitis has been divided into noninvasive and invasive forms. Noninvasive infections include fungus ball (mycetoma) and allergic fungal rhinosinusitis. Invasive infections include acute (or fulminates) fungal rhinosinusitis and invasive chronic rhinosinusitis. The case of chronic invasive rhinosinusitis was presented. Patient performed surgery--Functional Endoscopic Sinus Surgery and paranasal sinuses operation from subcranial approach. Surgery procedures were followed by antifungal pharmacotherapy (Orungal and Worykonazol). The presented case of fungal invasive chronic rhinosinusitis was treated according to recommended procedures with surgery followed by adequate antifungal farmacotherapy. In this case we have reached a successful outcome.
根据不同作者的研究，鼻窦炎真菌病因的发生率在9%至49%之间。真菌性鼻-鼻窦炎已被分为非侵袭性和侵袭性两种形式。非侵袭性感染包括真菌球（鼻真菌病）和变应性真菌性鼻-鼻窦炎。侵袭性感染包括急性（或暴发性）真菌性鼻-鼻窦炎和侵袭性慢性鼻-鼻窦炎。本文介绍了一例慢性侵袭性鼻-鼻窦炎病例。患者接受了手术——功能性鼻内镜鼻窦手术和经颅底入路的鼻窦手术。手术后进行了抗真菌药物治疗（奥鲁康唑和伏立康唑）。本文介绍的真菌性侵袭性慢性鼻-鼻窦炎病例按照推荐的程序进行了治疗，先进行手术，然后进行充分的抗真菌药物治疗。在这个病例中，我们取得了成功的治疗效果。
