With cutting-edge techniques and state-of-the-art technology, at the Dallas Sinus Center we offer the most innovative and minimally invasive treatment option available for the treatment of allergic fungal sinusitis.
Fungal Infections on the Rise
Types of Fungal Sinusitis and Required Treatments:
Allergic Fungal Sinusitis (AFS) is now believed to be an allergic reaction to environmental fungi that is finely dispersed into the air. This condition usually occurs in patients with an immunocompetent host (possessing the ability to mount a normal immune response). Patients diagnosed with AFS have a history of allergic rhinitis, and the onset of AFS development is difficult to determine. Thick fungal debris and mucin (a secretion containing carbohydrate-rich glycoproteins) are developed in the sinus cavities and must be surgically removed so that the inciting allergen is no longer present. Recurrence is not uncommon once the disease is removed. Anti-inflammatory medical therapy and immunotherapy are typically prescribed to prevent AFS recurrence.
Chronic Indolent Sinusitis is an invasive form of fungal sinusitis in patients without an identifiable immune deficiency. This form is generally found outside the U.S., most commonly in the Sudan and northern India. The disease progresses from months to years and presents symptoms that include chronic headache and progressive facial swelling that can cause visual impairment. Microscopically, chronic indolent sinusitis is characterized by a granulomatous inflammatory infiltrate (nodular-shaped inflammatory lesions). A decreased immune system can place patients at risk for this invasive disease. The recommended therapy for chronic indolent sinusitis is aggressive surgical removal of the fungal material and intravenous antifungal therapy.
Fulminant Sinusitis is usually seen in the immunocompromised patient (an individual whose immunologic mechanism is deficient either because of an immunodeficiency disorder or because it has been rendered so by immunosuppressive agents). The disease leads to progressive destruction of the sinuses and can invade the bony cavities containing the eyeball and brain. The recommended therapy for fulminant sinusitis is aggressive surgical removal of the fungal material and intravenous antifungal therapy.