Isolated fungal sinusitis of the sphenoid sinus - A case report

Abstract

Introduction: Isolated sphenoidal fungal sinusitis is a rare disease, representing 3% of all sinusitis cases. The disease usually occurs together with other paranasal sinus infections. Viral, bacterial, parasitic, and fungal infections can cause sinusitis. Fungal infection of the sphenoidal sinuses is rarely diagnosed, as it has no characteristic symptoms and is not much different from bacterial or other sinusitis infections. The diagnosis of fungal sphenoid sinusitis is based on history taking, physical examination, and supporting examination. The therapy aims to reduce sinus cavity inflammation, improve drainage, and overcome the pressure on the sinuses that cause painful symptoms. Endoscopic Sinus Surgery (ESS) is a surgical technique on the paranasal sinuses using an endoscope that aims to improve ventilation and mucociliary clearance of the sinuses.