Management of invasive fungal sinusitis

Abstract

Fungi have long been implicated as important pathogens in selected patients with acute or chronic sinusitis. Inhalation of fungal spores is considered to be the primary means by which these organisms gain access to the sinonasal tract. Fungal sinusitis is an important clinical entity. However, changing terminology and emerging theories of pathogenesis make it an area of confusion and controversy. An analysis of tissue invasion and host immunological response is an important step in the evaluation of the patient.