scholarly journals FREQUENCY OF BONE EROSION ON COMPUTERIZED TOMOGRAPGHY SCAN IN ALLERGIC FUNGAL RHINOSINUSITIS

2021 ◽  
Vol 71 (Suppl-3) ◽  
pp. S428-31
Author(s):  
Muhammad Ali ◽  
Saima Attiq ◽  
Sayed Nusrat Raza ◽  
Abdul Hakim ◽  
Shakeel Ahmed ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Paranasal Sinuses ◽  
Bone Erosion ◽  
Severe Disease ◽  
Ethmoid Sinus ◽  
Military Hospital ◽  
Bone Erosions ◽  
Fungal Rhinosinusitis ◽  
Allergic Fungal Rhinosinusitis ◽  
Tomography Scan

Objective: To analyze the frequency and sites of bone erosion on computerized tomograghy scan in Allergic Fungal Rhinosinustis in Pakistan. Study Design: Retrospective observational study. Place and Duration of Study: Department of ENT, Combined Military Hospital Lahore, Malir Karachi and Rawalpindi, from Jan 2010 to Dec 2019. Methodology: Total 230 cases of Allergic Fungal Rhinosinusitis were screened, out of which 85 patients having bone erosions on computerized tomograpghy scan were included in the study. Bone erosion in different paranasal sinuses and their sub sites were evaluated. Depending upon the number of bone erosion, patients were divided into three categories as mild, moderate and severe. Those having erosion at a single site were labelled as mild, those with two sub sites of erosion as moderate and those with more than two subsites of erosion were labelled as severe cases. Results: Detailed evaluation of computerized tomography scan of paranasal sinuses revealed bone erosion in 85/230 (36.9%) cases. Mean affected age was 23.96 ± 12.71 years. There were 52 (61.1%) males and 33 (38.9%) females. Ethmoid sinus was the most commonly involved sinus to have bone erosions 55 (38.19%) followed by maxillary sinus 38 (26.38%) then sphenoid sinus 27 (18.75%) and lastly frontal sinus 24 (16.6%). Out of 85 patients 48 (56.1%) were having mild, 22 (25.8%) moderate and 15 (17.6%) had severe disease. Conclusion: Allergic Fungal Rhinosinusitis has high frequency of bone erosion. Computerized tomography scan is an important and effective investigation in finding these bony erosions and ethmoid sinus is the.....

Radiologic Staging System for Allergic Fungal Rhinosinusitis

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P80-P80
Author(s):  
Gamwell A Rogers ◽  
Sarah K Wise ◽  
Mark D Ghegan ◽  
Richard J Harvey ◽  
John M DelGaudio ◽  
...  
Keyword(s):  
African Americans ◽  
Sphenoid Sinus ◽  
Bone Erosion ◽  
Tertiary Care ◽  
Staging System ◽  
Disease Course ◽  
Fungal Rhinosinusitis ◽  
Allergic Fungal Rhinosinusitis ◽  
Sinus Wall ◽  
Patient Groups

Objective (1) To develop an objective method for quantifying radiologic bone erosion in allergic fungal rhinosinusitis (AFRS). (2) To assess the utility of the newly developed AFRS CT staging system in differentiating AFRS patient groups. Methods Patients from two tertiary care rhinology practices with classic AFRS and available CTs (2001–2007) were included for retrospective review. CTs were scored by trained graders not involved in the patients’ care as the primary treating surgeon. The following novel assessment scale was used: Each paranasal sinus wall with expansion/erosion was scored 1 point, with a maximum of 3 points possible for each frontal sinus, 2 points for each ethmoid complex, 3 points for each sphenoid sinus, 3 points for each maxillary sinus, 1 point for the frontal intersinus septum, and 1 point for the sphenoid intersinus septum, yielding a maximum of 24 possible total points. Results 111 CTs were reviewed. Mean score across all patients was 7.8 (range 0–24). Males scored significantly higher than females (mean 9.3 vs 5.6, p < 0.001). African Americans scored significantly higher than Caucasians (mean 9.6 vs 5.0, p < 0.001). There was also a trend towards younger patients exhibiting higher scores (p = 0.07). Conclusions A radiologic grading system for bone erosion/expansion in AFRS is presented, which is easy to apply and may objectively stratify disease severity. Males and African Americans with AFRS demonstrate significantly more bone erosion. Additional analysis of disease course will assess the potential utility of this staging system in predicting outcomes.

Radiologic staging system for allergic fungal rhinosinusitis (AFRS)

2009 ◽  
Vol 140 (5) ◽  
pp. 735-740 ◽  
Author(s):  
Sarah K. Wise ◽  
Gamwell A. Rogers ◽  
Mark D. Ghegan ◽  
Richard J. Harvey ◽  
John M. DelGaudio ◽  
...  
Keyword(s):  
African Americans ◽  
Bone Erosion ◽  
Tertiary Care ◽  
Staging System ◽  
Ct Scans ◽  
Disease Course ◽  
Fungal Rhinosinusitis ◽  
Allergic Fungal Rhinosinusitis ◽  
Sinus Wall ◽  
Patient Groups

Objectives: 1) Develop an objective method for quantifying radiologic bone erosion in allergic fungal rhinosinusitis (AFRS); and 2) assess the utility of the new CT scan staging system in differentiating AFRS patient groups. Methods: Patients from two tertiary care rhinology practices with AFRS and available CT scans (1999–2007) were included for review by trained graders. The following novel assessment scale was used: Each paranasal sinus wall with expansion/erosion was scored 1 point, with maximum 3 points possible for each frontal sinus, 2 points for each ethmoid complex, 3 points for each sphenoid sinus, 3 points for each maxillary sinus, and 1 point each for the frontal and sphenoid intersinus septae, yielding maximum of 24 possible points. Results: A total of 111 CT scans were reviewed. Mean score was 7.8 (range, 0–24). Males scored significantly higher than females (mean, 9.3 vs 5.6, P = 0.001). African Americans scored significantly higher than Caucasians (mean, 9.6 vs 5.0, P < 0.001). Conclusions: A scoring system for bone remodeling in AFRS is presented. Males and African-Americans with AFRS demonstrate significantly more bone erosion. Additional analysis of disease course will assess the utility of this staging system in predicting outcomes.

Socioeconomic Factors in Allergic Fungal Rhinosinusitis with Bone Erosion

2007 ◽  
Vol 21 (5) ◽  
pp. 560-563 ◽  
Author(s):  
Mark D. Ghegan ◽  
Sarah K. Wise ◽  
Edward Gorham ◽  
Rodney J. Schlosser
Keyword(s):  
African Americans ◽  
Socioeconomic Factors ◽  
Skull Base ◽  
Bone Erosion ◽  
Demographic Data ◽  
Tertiary Care ◽  
Poverty Level ◽  
Fungal Rhinosinusitis ◽  
Allergic Fungal Rhinosinusitis ◽  
Socioeconomic And Demographic Factors

Background Previous studies have shown an increase in the incidence of orbital and skull base erosion in African Americans and males diagnosed with allergic fungal rhinosinusitis (AFRS). However, underlying reasons for the advanced presentation of AFRS in certain ethnic and gender groups are currently unknown. We evaluated several socioeconomic and demographic factors for their possible contribution to advanced presentation of AFRS in our patient population. Such factors have not been examined previously in the literature. The aim of this study was to evaluate the contribution of race, ethnicity, and various socioeconomic factors to the advanced presentation of AFRS with orbital and skull base bone erosion. Methods Retrospective review of medical records and radiological studies were performed for 54 consecutive AFRS patients presenting to a tertiary care rhinology practice. Presence of radiological evidence of bone erosion was compared with demographic data and insurance status, as indicated in the medical record. Bone erosion status was evaluated also against state demographic data, divided by county. Results Males were significantly more likely to present with bone erosion than females (p = 0.009). In this analysis, age and race were not statistically associated with the presence of bone erosion. Additionally, no statistically significant correlations were identified between bone erosion and several socioeconomic factors listed from the patient's county of residence (percentage below the poverty level, median household income, population percentage of African Americans, or number of physicians per 1000 residents). Conclusion No socioeconomic factors were identified that correlated with the incidence of bone erosion in patients diagnosed with AFRS. Factors other than socioeconomic status and access to health care appear to play a role in the advanced presentation of AFRS.

scholarly journals Low Incidence of Allergic Fungal Rhinosinusitis in Japanese Patients

2019 ◽  
Vol 12 ◽  
pp. 117955061987075 ◽  
Author(s):  
Seiichiro Makihara ◽  
Shin Kariya ◽  
Tomoyuki Naito ◽  
Junya Matsumoto ◽  
Mitsuhiro Okano ◽  
...  
Keyword(s):  
Steroid Therapy ◽  
Bone Erosion ◽  
Sinus Surgery ◽  
Postoperative Treatment ◽  
High Recurrence Rate ◽  
Blood Eosinophil ◽  
Peripheral Blood Eosinophil ◽  
Fungal Rhinosinusitis ◽  
Allergic Fungal Rhinosinusitis ◽  
Allergic Mucin

Background: Allergic fungal rhinosinusitis (AFRS) is a noninvasive fungal disease of the sinuses with a very high recurrence rate. A very small number of Japanese cases have been reported. Material and methods: The subjects were 6 patients with AFRS out of 429 patients who underwent endoscopic sinus surgery at Kagawa Rosai Hospital between December 2011 and November 2017. We retrospectively examined the clinical features and outcomes of these 6 patients. Results: The incidence of AFRS was 1.4% (6/429). Allergic fungal rhinosinusitis was unilateral in 5 cases and bilateral in 1. Computed tomography revealed hyperdense areas representing allergic mucin, but no patient exhibited bone erosion. Magnetic resonance imaging showed hypointense or no signal regions at the locations of allergic mucin. Postoperatively, 1 patient developed recurrence. Because the recurrent patient had no significant symptoms, he refused further surgery and received drug therapy. Preoperative eosinophil counts and total IgE levels were elevated in all patients; postoperatively, both remained high in the patient who developed recurrence. Postoperative treatments included steroid therapy and nasal irrigation. Conclusions: Allergic fungal rhinosinusitis is less prevalent in Japan than in Western nations. Peripheral blood eosinophil and serum IgE values may be used as the biomarkers. Significance: Allergic fungal rhinosinusitis is prone to recurrence. Postoperative treatment including steroid therapy is important in the management of AFRS.

Fungal Sinusitis

2021 ◽  
Author(s):  
Sean P McKee ◽  
Jeffrey Paul Radabaugh ◽  
Martin J Citardi ◽  
William C Yao
Keyword(s):  
Key Words ◽  
Paranasal Sinuses ◽  
Fungal Disease ◽  
Fungal Sinusitis ◽  
Invasive Fungal Sinusitis ◽  
Fungal Rhinosinusitis ◽  
Allergic Fungal Rhinosinusitis ◽  
Allergic Mucin

Fungal sinusitis encompasses a spectrum of fungal disease processes affecting the paranasal sinuses, ranging from asymptomatic colonization to rapidly progressive and fatal infections. This review contains 10 figures, 3 tables, and 30 references.  Key Words: fungal sinusitis, mycetoma, allergic fungal rhinosinusitis, invasive fungal sinusitis, mucormycosis, allergic mucin

scholarly journals Abscess or Tumor? When a Retroperitoneal Mass on Computerized Tomography Turns Out to Be a Rare Soft Tissue Growth

2021 ◽  
pp. 1025-1030
Author(s):  
Ilya Noginskiy ◽  
Neil Nimkar ◽  
Madhumati R. Kalavar
Keyword(s):  
Soft Tissue ◽  
Clinical Response ◽  
Computerized Tomography ◽  
Symptomatic Patient ◽  
Tissue Growth ◽  
Rare Tumor ◽  
Retroperitoneal Mass ◽  
Elderly Female ◽  
Desmoid Fibromatosis ◽  
Tomography Scan

A retroperitoneal finding on a computerized tomography scan, in a symptomatic patient, can harbor the clinician to many differential diagnoses from infectious to malignancy. Desmoid fibromatosis (DF), a relatively innocuous mass that can spread locally, can be found in that anatomical region. Even for a rare tumor such as DF, our patient did not meet the usual benchmarks of this cancer, being an elderly female and having it appear as an abscess radiologically. Timely clinical response with radiotherapy and tamoxifen allowed our patient’s DF to regress and resolved her symptoms.

Sign in / Sign up

Export Citation Format

Share Document