Open AccessTest, Track and Treat the Devil in the Paranasal Sinuses
Author(s) -
Anil S. Harugop,
Rajesh Radhakrishna Havaldar,
O. Padmavathy,
Reshma Ramanan
Publication year - 2021
Publication title -
bengal journal of otolaryngology and head neck surgery
Language(s) - English
Resource type - Journals
eISSN - 2395-2407
pISSN - 2395-2393
DOI - 10.47210/bjohns.2021.v29i1.383
Subject(s) - medicine , paranasal sinuses , debridement (dental) , turbinectomy , surgery , sinus (botany) , sinusitis , functional endoscopic sinus surgery , radiological weapon , maxillary sinus , surgical debridement , radiology , botany , biology , genus
Complications of rhinosinusitis result from progression of acute fungal or bacterial rhinosinusitis beyond the paranasal sinuses, potentially causing significant morbidity from either local or distant spread.Case ReportA 45year old male patient presented with left sided headache since 8 days, left sided facial pain and swelling since 4 days which rapidly progressed to have pre-maxillay pus pointing and cellulitis. Functional endoscopic sinus surgery (FESS) was planned and intraoperatively inferior turbinectomy and maxillary clearance through the necrosed inferior turbinate was performed.Discussion The management of acute fungal rhinosinusitis is surgical debridement by doing FESS. This case report highlights that it may not be the case always. The treatment in the form of maxillary clearance and debridement of necrosed area need to be tailor made according to the disease and involvement as suggested on radiological imaging.