Althomaly Danah H, AlMomen Ali A
Medical intern, Imam Abdulrahman Bin Faisal University, Khobar, Saudi Arabia.
Consultant ENT, Rhinology and Endoscopic Skull Base Surgery at King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Int J Surg Case Rep. 2019;54:60-62. doi: 10.1016/j.ijscr.2018.11.015. Epub 2018 Nov 16.
to report the alternating nature of allergic fungal rhinosinusitis in children in the Eastern part of Saudi Arabia and to review the experience of King Fahad Specialist Hospital in the diagnosis and management of alternating allergic fungal rhinosinusitis in children. An 8 years old Saudi girl with alternating allergic fungal rhinosinusitis was diagnosed and managed. The patient was diagnosed to have unilateral left allergic fungal rhinosinusitis and underwent endoscopic sinus surgery and cleaning of the left sinuses from polyps, mud and mucin. One year postoperatively the patient developed AFRS in the contralateral right side.
involvement of the contralateral sinuses in children with AFRS is uncommon. The normal uninvolved sinus should be involved in the routine endoscopic examination and the post-operative treatment in order to minimize the risk of disease recurrence.
报告沙特阿拉伯东部地区儿童变应性真菌性鼻-鼻窦炎的交替性，并回顾法赫德国王专科医院在儿童变应性真菌性鼻-鼻窦炎诊断和管理方面的经验。一名8岁患有变应性真菌性鼻-鼻窦炎交替性的沙特女孩被诊断并接受治疗。该患者被诊断为左侧单侧变应性真菌性鼻-鼻窦炎，并接受了鼻内镜鼻窦手术，清除了左侧鼻窦的息肉、泥样物和粘蛋白。术后一年，患者对侧右侧发生了变应性真菌性鼻-鼻窦炎。
变应性真菌性鼻-鼻窦炎儿童对侧鼻窦受累并不常见。正常未受累鼻窦应纳入常规鼻内镜检查和术后治疗，以尽量降低疾病复发风险。
