Invasive Fungal Rhinosinusitis versus Bacterial Rhinosinusitis with Orbital Complications: A Case-Control Study
Joint Authors
Thanaviratananich, Sanguansak
Piromchai, Patorn
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-03
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Medicine
Information Technology and Computer Science
Abstract EN
Background.
Invasive fungal rhinosinusitis with orbital complications (IFSwOC) is a life-threatening condition.
The incidence of mortality has been reported to be up to 80 percent.
This study was conducted to determine the risk factors, presentations, clinical, and imaging findings that could help to manage this condition promptly.
Methods.
We conducted a case-control study of 100 patients suffering from rhinosinusitis with orbital complications.
The risk factors, clinical presentations, radiological findings, medical and surgical managements, durations of hospital stay, and mortality rate data were collected.
Results.
Sixty-five patients were diagnosed with IFSwOC, while the other thirty-five patients composed the control group.
The most important risk factor for IFSwOC was diabetes mellitus.
Visual loss and diplopia were the significant symptom predictors.
The significant clinical predictors were nasal crust, oculomotor nerve, and optic nerve involvement.
The CT findings of IFSwOC were sinus wall erosion and hyperdensity lesions.
The mortality rate was 25.71 percent in the IFSwOC group and 3.17 percent in the control group.
Conclusions.
Invasive fungal rhinosinusitis with orbital complications is symptomatic of a high mortality rate.
The awareness of a patient’s risk factors, the presenting symptoms, signs of fungal invasion, and aggressive management will determine the success of any treatment procedures.
American Psychological Association (APA)
Piromchai, Patorn& Thanaviratananich, Sanguansak. 2013. Invasive Fungal Rhinosinusitis versus Bacterial Rhinosinusitis with Orbital Complications: A Case-Control Study. The Scientific World Journal،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-1032932
Modern Language Association (MLA)
Piromchai, Patorn& Thanaviratananich, Sanguansak. Invasive Fungal Rhinosinusitis versus Bacterial Rhinosinusitis with Orbital Complications: A Case-Control Study. The Scientific World Journal No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-1032932
American Medical Association (AMA)
Piromchai, Patorn& Thanaviratananich, Sanguansak. Invasive Fungal Rhinosinusitis versus Bacterial Rhinosinusitis with Orbital Complications: A Case-Control Study. The Scientific World Journal. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-1032932
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1032932