Clinical Presentation of Allergic Fungal Sinusitis in Children

Objective To compare the differences in the clinical and radiographic presentation of allergic fungal sinusitis in children and adults. Study Design Retrospective chart and computed tomography review. Methods The settings included a tertiary care children's hospital, adult academic private hosp...

Full description

Saved in:
Bibliographic Details
Published in:The Laryngoscope 2002-03, Vol.112 (3), p.565-569
Main Authors: McClay, John E., Marple, Brad, Kapadia, Lav, Biavati, Michael J., Nussenbaum, Brian, Newcomer, Mark, Manning, Scott, Booth, Tim, Schwade, Nathan
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Allergic fungal sinusitis
Biological and medical sciences
Bipolaris
bony erosion
Chi-Square Distribution
Child
Child, Preschool
Curvilaria
Ent and stomatologic mycoses
Facial Bones - pathology
Female
Human mycoses
Humans
Hypersensitivity - microbiology
Hypersensitivity - pathology
Infectious diseases
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Mycoses
Mycoses - diagnostic imaging
Mycoses - pathology
Otorhinolaryngology. Stomatology. Orbit
pediatric
proptosis
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Retrospective Studies
Sinusitis - diagnostic imaging
Sinusitis - microbiology
Sinusitis - pathology
Tomography, X-Ray Computed
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective To compare the differences in the clinical and radiographic presentation of allergic fungal sinusitis in children and adults. Study Design Retrospective chart and computed tomography review. Methods The settings included a tertiary care children's hospital, adult academic private hospital, and academic affiliated county hospital. All patients with documented allergic fungal sinusitis who underwent computed tomography evaluation and had surgical treatment of their disease from 1988 to 1999 were included in the study. In total, 151 patients aged 5 to 75 years; 44 of these patients were less than or equal to 17 years of age (children) and 107 were greater than 17 years of age (adults). Main outcome measures included 1) the presence of obvious bony facial abnormalities on presentation, 2) bilateral or unilateral sinus disease on presentation, 3) the presence of asymmetrical disease on presentation, 4) the presence of bony extension on computed tomography scan, and 5) type of fungus present. Results Fifteen of 36 (42%) pediatric patients and 10 of 103 (10%) adult patients had obvious alteration of their facial skeleton (proptosis, telecanthus, or malar flattening) on presentation (P
ISSN:0023-852X
1531-4995
DOI:10.1097/00005537-200203000-00028