Raz Eytan, Win William, Hagiwara Mari, Lui Yvonne W, Cohen Benjamin, Fatterpekar Girish M
Department of Radiology, NYU School of Medicine, 660 First Avenue, 2nd Floor, New York, NY 10016, USA.
Department of Radiology, NYU School of Medicine, 660 First Avenue, 2nd Floor, New York, NY 10016, USA.
Neuroimaging Clin N Am. 2015 Nov;25(4):569-76. doi: 10.1016/j.nic.2015.07.004. Epub 2015 Aug 21.
Fungal sinusitis is characterized into invasive and noninvasive forms. The invasive variety is further classified into acute, chronic and granulomatous forms; and the noninvasive variety into fungus ball and allergic fungal sinusitis. Each of these different forms has a unique radiologic appearance. The clinicopathologic and corresponding radiologic spectrum and differences in treatment strategies of fungal sinusitis make it an important diagnosis for clinicians and radiologists to always consider. This is particularly true of invasive fungal sinusitis, which typically affects immuno compromised patients and is associated with significant morbidity and mortality. Early diagnosis allows initiation of appropriate treatment strategies resulting in favorable outcome.
真菌性鼻窦炎分为侵袭性和非侵袭性两种类型。侵袭性类型进一步分为急性、慢性和肉芽肿性三种形式；非侵袭性类型分为真菌球和变应性真菌性鼻窦炎。这些不同形式中的每一种都有独特的影像学表现。真菌性鼻窦炎的临床病理、相应的影像学特征以及治疗策略的差异，使其成为临床医生和放射科医生始终需要考虑的重要诊断。侵袭性真菌性鼻窦炎尤其如此，它通常影响免疫功能低下的患者，并与较高的发病率和死亡率相关。早期诊断有助于启动适当的治疗策略，从而取得良好的治疗效果。
