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ISSN: 2641-1709

Scholarly Journal of Otolaryngology

Research Article(ISSN: 2641-1709)

The Different Clinical Manifestations and Diagnostic Strategies of Isolated Sphenoid Non-Invasive Fungal Sinusitis

Volume 4 - Issue 2

Ali Almomen1*, Hussain Al Baharna2, Abdullah A AlShakhs3, Mohammed A Alfalah3, Mohammed AlSaeed3, Ali AlTuraifi3 and Njood Alaboud3

  • Author Information Open or Close
    • 1Consultant Rhinology & Skull base surgery, King Fahad Specialist Hospital, Kingdom of Saudi Arabia
    • 2ENT Consultant, Qatif Central Hospital, Kingdom of Saudi Arabia
    • 3Medical Intern, Saudi Program, Kingdom of Saudi Arabia

    *Corresponding author: Ali Almomen, Consultant Rhinology & skull base surgery, King Fahad Specialist Hospital, Dammam, Kingdom of Saudi Arabia

Received: March 11, 2020;   Published:April 06, 2020

DOI: 10.32474/SJO.2020.04.000184

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Abstract

Objective: To present the different clinical manifestations and diagnostic strategies of isolated sphenoid non-invasive fungal sinusitis (SNIFS) in order to prevent delayed diagnosis and providing early management.

Method: This study is a retrospective clinical study, conducted between January 2008 to November 2019. It was done in the ENT department of two institutes: King Fahad specialist Hospital and Qatif Central Hospital, Saudi Arabia. Only patients with sole involvement of non-invasive fungal sinusitis in the sphenoid sinus were included.

Conclusion: The incidence of SNIFS is rare. However, it’s clinically important because untreated SNIFS can cause significant complications. The clinical features of SNIFS are ambiguous and nonspecific which make its diagnosis more difficult. Post-nasal discharge and headache refractory to the medical management is the most common symptom of SNIFS. CT scan is still the cornerstone of radiological diagnosis of SNIFS. Endoscopic sinus surgery is the standard care of management.

Keywords: Sphenoid sinus, Fungal ball, allergic fungal sinusitis, non-invasive fungal sinusitis, endoscopy, allergic fungal rhinosinusitis

Abbreviations: SNIFS: Sphenoid Non-Invasive Fungal Sinusitis; SAFRS: Sphenoid Allergic Fungal Rhinosinusitis; ISFB: Isolated Sphenoid Fungal Ball; FB: Fungal Ball; AFRS: Allergic Fungal Rhinosinusitis

Abstract| Introduction| Method| Result| Discussion| Conclusion| Conflict of interest| Sources of funding| Consent| References|

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