Atypical infections in chronic sinusitis: Thinking outside the box

Atypical infections in chronic sinusitis: Thinking outside the box
up to 10%. Sinusitis can be divided into acute and chronic forms. In particular, the chronic forms (>12 weeks duration) are often challenging in the context of therapy.

Generally, all ventilation disorders of the paranasal sinuses (concha bullosa, nasal septal deviations, etc.,) represent risk factors for the development of any form of sinusitis. In addition, an or systemic diseases relevant to the predispose to infections with atypical pathogens. Most sinusitis are caused by viruses, sometimes bacteria and, in rare cases, . Furthermore, sinusitis can be differentiated with regard to the affected paranasal sinuses.

In addition to conservative treatment options for chronic sinusitis (glucocorticoid nasal sprays, antibiotics, antimycotics, immunotherapy), surgical procedures (functional endoscopic sinus surgery) can also be considered. However, chronic sinusitis tends towards a high rate of recurrences. Therefore, in many cases only symptom control is achieved.






Credit: Impact Journals LLC

In their recent research perspective, researchers Florian Dudde, Kai-Olaf Henkel and Filip Barbarewicz from the Department of Oral and Maxillofacial Surgery at Army Hospital Hamburg discuss treatment refractory forms of chronic sinusitis with unclear etiology. The authors note that these cases require interdisciplinary diagnostics and treatment, which they were able to demonstrate clearly in their recently published article.

“Fungal infections are a rare cause of sinusitis. A detailed anamnesis and clinical examination of the patient should be carried out, particularly in the case of therapy refractory forms of chronic sinusitis. It is also important to consider atypical causes and disease connections (root canal treatment, aspergilloma) when dealing with . Interdisciplinary diagnostics and therapy are crucial for the successful treatment of this rare entity,” say the researchers.

More information:
Florian Dudde et al, Think outside the box—atypical infections in chronic sinusitis, Oncoscience (2023). DOI: 10.18632/oncoscience.576

Provided by
Impact Journals LLC

Citation:
Atypical infections in chronic sinusitis: Thinking outside the box (2023, July 14)
retrieved 15 July 2023
from https://medicalxpress.com/news/2023-07-atypical-infections-chronic-sinusitis.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.

Read More

Zaļā Josta - Reklāma