Riechelmann H
Univ. HNO-Klinik Innsbruck, Germany.
Laryngorhinootologie. 2011 Jun;90(6):374-81; quiz 382-4. doi: 10.1055/s-0031-1279702. Epub 2011 May 25.
The incidence of fungal sinusitis is subjected to significant geographical variation. Basically, invasive and non-invasive fungal sinusitis is distinguished. Invasive fungal sinusitis is observed mainly in immunocompromised hosts. The diagnopsis is based on positive fungus detection combined with characteristic clinical features. The treatment of invasive fungal sinusitis is based on surgical debridement and systemic antifungal therapy. Non-invasive fungal sinusitis is either treated with surgery alone or surgery combined with systemic steroid therapy. The majority of studies showed no benefit of postoperative antimycotic medical treatment in patients with non-invasive fungal sinusitis.
真菌性鼻窦炎的发病率存在显著的地域差异。基本上，可区分侵袭性和非侵袭性真菌性鼻窦炎。侵袭性真菌性鼻窦炎主要见于免疫功能低下的宿主。诊断基于真菌检测阳性并结合特征性临床特征。侵袭性真菌性鼻窦炎的治疗基于手术清创和全身抗真菌治疗。非侵袭性真菌性鼻窦炎要么仅通过手术治疗，要么手术联合全身类固醇治疗。大多数研究表明，术后抗真菌药物治疗对非侵袭性真菌性鼻窦炎患者并无益处。
