Tovmasyan A S, Shadrin G B, Kolbanova I G, Ramazanov S R, Mosin V V, Filina E V
Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Vestn Otorinolaringol. 2023;88(2):89-92. doi: 10.17116/otorino20228802189.
Treatment of patients with fungal sinusitis, in some cases, does not lead to complete sinus sanitation, which may be due to insufficient surgical intervention and/or incorrectly selected antimycotic therapy. Treatment of such patients must necessarily include the complete removal of fungal masses from the affected sinus and the further use of antimycotics that ensure complete elimination of the pathogen. A clinical case of chronic fungal operated isolated sphenoiditis caused by the fungus is presented. For extensive drainage of the sphenoid sinus, the patient underwent translamellar sphenoidotomy on the right with further antifungal therapy.
在某些情况下，真菌性鼻窦炎患者的治疗并不能实现鼻窦的完全清洁，这可能是由于手术干预不足和/或抗真菌治疗选择不当所致。对此类患者的治疗必须包括从受影响的鼻窦中彻底清除真菌团块，并进一步使用能确保病原体完全清除的抗真菌药物。本文介绍了一例由该真菌引起的慢性真菌性孤立性蝶窦炎的临床病例。为实现蝶窦的广泛引流，该患者接受了右侧经板层蝶窦切开术，并进一步接受了抗真菌治疗。
