Miao Xutao, Wang Xin, Li Wenjun, Peng Ben'gang
Department of Otolaryngology, Beijing Jishuitan Hospital, Beijing, 100035, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2012 Oct;26(20):931-2, 935.
To improve the diagnosis and treatment of the acute attack of sphenoid and ethmoid fungal ball sinusitis based on the analysis of clinical features.
Eighteen patients with sphenoid and ethmoid fungal ball sinusitis were reviewed, and the main symptoms included headache and fever during acute attack. Endoscopy, nasal CT and MRI can provide useful information for diagnosis. Endoscopic sinus surgery was performed on thirteen patients after drug therapy, while the other 5 patients chose conservative therapy.
The pathological examination confirmed the fungal lesions and the 13 patients had a good recovery. The result of CT and MRI scanning had a good accordance with the intra-operative findings. One patient receiving conservative treatment had acute attack again 2.5 months later, and antibiotics and topical nasal drugs improved the symptoms.
Clinical presentation and radiological imaging contribute to the differential diagnosis of the acute attack of sphenoid and ethmoid fungal ball sinusitis, then the targeted therapy can be taken.
通过对临床特征的分析，提高蝶窦和筛窦真菌球性鼻窦炎急性发作的诊断和治疗水平。
回顾性分析18例蝶窦和筛窦真菌球性鼻窦炎患者，急性发作时的主要症状为头痛和发热。鼻内镜检查、鼻窦CT和MRI可为诊断提供有用信息。13例患者在药物治疗后接受了鼻内镜鼻窦手术，另外5例患者选择了保守治疗。
病理检查证实为真菌性病变，13例患者恢复良好。CT和MRI扫描结果与术中所见吻合良好。1例接受保守治疗的患者在2.5个月后再次急性发作，使用抗生素和鼻用局部药物后症状改善。
临床表现和影像学检查有助于蝶窦和筛窦真菌球性鼻窦炎急性发作的鉴别诊断，进而采取针对性治疗。
Zotero 插件