Allergic Fungal Rhinosinusitis in Patients with Nasal Polyposis
Iraqi Postgraduate Medical Journal,
2022, Volume 21, Issue 2, Pages 184-189
Nasal polyps are considered to be the end results of a chronic inflammatory process in the sinonasal mucosa which are commonly seen in our routine ENT practice. Allergic fungal rhinosinusitis may be present with unilateral or bilateral polyps, it is important to be aware of the prevalence of allergic fungal rhinosinusitis in patients with nasal polyps.
To determine the frequency of allergic fungal rhinosinusitis among patients having nasal polyposis.
This is a descriptive cross-sectional study carried out in Department of Otolaryngology, Head and Neck Surgery, Ghazi Al-Hariri Hospital for surgical sub-specialties, during October 2018 to October 2019. A total of 55 patients (31 male, 24 female) with nasal polyposis for at least 3 months were enrolled. All patients were assessed by detailed history, examination, investigation including total Ig E titer, and Computed tomography of the nose and paranasal sinuses. These patients underwent endoscopic sinus surgery and the specimens were sent for histopathology for identification of fungus.
The mean age was (32.9±12.4) years. Nasal obstruction (100%) was recorded, smell disturbance (86%) and nasal discharge (84%) were the commonest clinical presentation. Out of 55 patients, fungal elements were detected by histopathological study in 20(36%) of patients.
Allergic fungal rhinosinusitis is significantly associated in patients with nasal polyposis.
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