Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

진균성 부비동염의 임상적 고찰

전경명1, 박중환1, 이일우1, 노환중1,*
Kyong-Myong Chon1, Jung-Hwan Park1, Il-Woo Lee1, Hwan-Jung Roh1,*
1부산대학교 의과대학 이비인후과학교실
1Department of Otorhinolaryngology, College of Medicine, Pusan National University, Pusan, Korea
*교신저자: 노환중, 602-739 부산광역시 서구 아미동 1가 10 부산대학교 의과대학 이비인후과학교실 전화: (051) 240-7333·전송: (051) 246-8668 E-mail: rohhj@hyowon.cc.pusan.ac.kr

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Jul 29, 2000; Accepted: Oct 02, 2000

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: In recent years there has been an increase in mycotic infections of the nose and paranasal sinuses with frequent use of antibiotics, cytotoxic drugs, immuosuppressive therapy and increased survival of chronically debilitated patients. Diagnosis of mycotic sinusitis has advanced markedly with availability of computed tomography, magnetic resonance imaging and sinus endoscopy. The pathophysiology and clinical features of mycotic sinusitis are different according to invasive and non-invasive forms. This study were performed to evaluate 22 cases of mycotic sinusitis with their clinical presentation, course, diagnostic and treatment methods. Materials and Methods: Twenty-two cases of mycotic infections of the paranasal sinuses, which were confirmed histopathologiclly, from June 1996 through December 1999 were evaluated retrospectively depending on histopathology, clinical courses, diagnostic findings, and treatment results. Results: Of 22 cases 13 cases were non-invasive mycetoma and 11 cases were managed with endoscopic sinus surgery and 2 cases with Caldwell-Luc’s operation. Recurrences were not observed. Three cases with fulminant mycotic sinusitis were treated necrotomy and systemic amphotericin B injection. Three cases thought to be allergic fungal sinusitis showed positive allergic mucin and hyphae even though negative IgE-mediated atopy. Conclusion: Mycotic sinusitis should always be considered in the differential diagnosis of chronic or recurring sinusitis resistant to adequate medical treatment. Although definite diagnosis of mycotic sinusitis is based on histopathologic examination of removed materials from sinus, CT and MRI are highly sensitive diagnostic tools for evaluating this disease with diagnostic criteria. (J Clinical Otolaryngol 2000;11:286-292)

Keywords: 부비동염; 균사종; 모균종
Keywords: Mycotic sinusitis; Aspergillosis; Mucormycosis