Fungal sinusitis

Our series included 30 cases divided into 16 cases of fungal bullet, 5 cases of allergic form, 5 cases of chronic invasive fungal sinusitis and 4 cases of mucormycosis. Females predominated, with a sex ratio of 0.3. The clinical picture was non-specific. Functional signs were dominated by rhinorrhea, nasal obstruction and facial pain. Imaging, based on CT and/or MRI, was performed in all patients. Endocranial and orbital extension was noted in 4 cases of the invasive form. Treatment depended on the clinical form. Surgical treatment was indicated in all cases. The endonasal route was used in 90% of cases. General antifungal treatment was combined with surgery in 10 cases. Monitoring was essentially clinical and endoscopic for non-invasive forms. Radiological monitoring was performed in 4 cases of the invasive form, and cure was achieved in all patients with a fungal bullet. Recurrence was noted in two cases, one with the chronic invasive form and the other with the allergic form.