Recurrence Pattern and Complication Rate of Allergic Fungal Sinusitis: A 10-Year Tertiary Center Experience
Joint Authors
Alghonaim, Yazeed
Alfayez, Abdulrhman
Alhedaithy, Riyadh
Alsheikh, Abdullah
Almalki, Malak
Source
International Journal of Otolaryngology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Allergic fungal rhinosinusitis is a noninvasive form of highly recurrent chronic rhinosinusitis.
Despite the advancement in medical and surgical strategies, recurrence in AFRS in general poses another challenging problem with reported incidence that eventually can reach more than 60%.
Recognition and understanding the pattern of disease recurrence will lead to greater understanding of the disease response in our population.
Method.
A retrospective cohort study was performed in King Abdulaziz Medical City in Riyadh, Saudi Arabia.
All patients diagnosed with chronic rhinosinusitis and underwent functional endoscopic sinus surgery from the period of January 2006 to December 2016 were reviewed.
Results.
28 patients were found to have AFRS based on clinical, radiological, and microscopic examination suggestive of allergic fungal rhinosinusitis.
Among these patients, 53% of them were female and 46% were male.
The age ranged from 13 to 55 years, with a mean age of 31.57 years.
28.57% of the patients presented with recurrent allergic fungal sinusitis.
The duration between the surgery and symptoms recurrence was around one year.
Male and female patients had similar recurrence rate (50%).
At first visit, 95% of the patients with nonrecurrent disease presented with nasal obstruction compared to 87.5% of the patients with recurrent disease.
On the other hand, patients with recurrent disease had more nasal discharge (87.5%), postnasal drip (37.5%), facial pressure/pain (50%), headache (50%), nasal polyposis (87.5%), hypertrophy of inferior turbinate (37.5%), and proptosis (12.5%).
Nasal obstruction (87.5%) and nasal polyps (87.5%) were the most common presenting symptoms for the disease recurrence.
The pattern of disease recurrence in the previously unilateral disease was 18% ipsilateral and 27% bilateral.
For the patients who had bilateral disease formerly, 17% (n = 3) of them had recurrent bilateral disease.
Conclusion.
Allergic fungal rhinosinusitis is a distinct clinical entity.
A high recurrence rate is a pathognomonic feature of the disease, despite all the development in medical and surgical trials.
This study demonstrated that recurrence rate is lower in our population.
However, more studies with a greater number of patients are needed in the future to clearly recognize the pattern of recurrence in patients with AFRS.
American Psychological Association (APA)
Alghonaim, Yazeed& Alfayez, Abdulrhman& Alhedaithy, Riyadh& Alsheikh, Abdullah& Almalki, Malak. 2020. Recurrence Pattern and Complication Rate of Allergic Fungal Sinusitis: A 10-Year Tertiary Center Experience. International Journal of Otolaryngology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1173053
Modern Language Association (MLA)
Alghonaim, Yazeed…[et al.]. Recurrence Pattern and Complication Rate of Allergic Fungal Sinusitis: A 10-Year Tertiary Center Experience. International Journal of Otolaryngology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1173053
American Medical Association (AMA)
Alghonaim, Yazeed& Alfayez, Abdulrhman& Alhedaithy, Riyadh& Alsheikh, Abdullah& Almalki, Malak. Recurrence Pattern and Complication Rate of Allergic Fungal Sinusitis: A 10-Year Tertiary Center Experience. International Journal of Otolaryngology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1173053
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1173053