Fungal Rhinosinusitis

Question 1

Diagnostic investigation in allergic fungal sinusitis

Answer 1

CT : mottling

Question 2

Treatment of allergic fungal sinusitis

Answer 2

FESS

Question 3

Which sinus is commonly involved in fungal Ball (sinus mycetoma)

Answer 3

Maxillary

Question 4

Treatment of simus mycetoma (fungal ball)

Answer 4

FESS

Question 5

Risk group in acute Invasive fungal sinusitis

Answer 5

Immunocompromised (diabetics)

Question 6

Treatment of acute Invasive fungal sinusitis

Answer 6

hospitalization, correct blood sugar,
systemic antifungals +/- surgical debridement

Question 7

Pathognomonic lesion in acute Invasive fungal sinusitis

Answer 7

Dark ulcers on the septum, turbinates, or
palate

Question 8

Difference between acute and chronic Invasive fungal sinusitis

Answer 8

Chronic is present in immunocompromised and immunocompetent
Also, chromic is gradual and less aggressive

Question 9

Difference between Granulomatous invasive fungal sinusitis and chronic Invasive fungal sinusitis

Answer 9

Granulomatous type comes in
• Immunocompetent patients
• Proptosis is a common finding
• Microscopic picture
• Granuloma with multinucleated giant cells with bone
pressure necrosis and erosion