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Experiments in Rhinology & Otolaryngology

Invasive Fungal Sinusitis: Management of the Orbit, a Multi Institutional Study and Review of Literature

  • Open or Close Abhishek Kumar Ramadhin1* and Diptarka Bhattachayya2

    1Deportment of Otolaryngology, Elizabeth Medical Center, USA

    2Deportment of Otolaryngology, Sinai Hospital of Baltimore, USA

    *Corresponding author: Abhishek Kumar Ramadhin, Clinical fellow, Rhinology, Inst. St. Elizabeth Medical Center, Otolaryngology, Boston, MA, USA

Submission: May 11, 2018;Published: June 08, 2018

DOI: 10.31031/ERO.2018.01.000522

ISSN: 2637-7780
Volume1 Issue5


Introduction: Invasive fungal sinusitis is an uncommon disease but with high mortality and morbidity, and the treatment is multi-modal However, the management of the orbit is still unclear, with a fine line between orbital conservation and worsening disease outcomes.

Aim: This study is an anonymized, multi institutional retrospective study undertaken in two large tertiary referral centers, whereby patient records and charts from 2007 to 2017 were systematically reviewed, and patients meeting the inclusion criteria were selected.

Materials and methods: A total of 47 patients (n=47) were found to fulfill the inclusion criteria. Out of these, 14 were found to have extensive intraorbital disease, and 33 were found to have limited periosteal involvement. In all, a total of 23 patients underwent orbital exenteration.

Results: In our series of patients, we found that extensive orbital disease patients need orbital exenteration early, even though the survival benefit is unclear. However, in patients with limited orbital disease, a trial of conservative management yielded orbital conservation in 72.7% patients, and it does seem that the results for limited anterior disease is even better, achieving 85% conservation

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