副鼻腔真菌症 : 症例集計とその治療法の検討

概要

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Since the advent of various kinds of antibiotic and steroid therapy, it becomes apparent that fungal infection of the paranasal sinuses is much more common than ever reported.The lack of recongnition of this disease entity makes the scarcity of reports with effective management even though there were abundant patients with chronic sinusitis in daily clinic. We reported here 5 cases that were treated at Yamaguchi University Hospital since 1976.One of the cases was presented precisely. The treatment of the fungal infection of the sinuses was re-evaluated from the standpoint of empirical and literature view.Our trial of systematic antifungal therapy is emphasized, which consists of: 1) surgical intervention, meticulous sinusotomy to open every cells and keep the effective drainage and ventilation. 2) postoperative infusion-irrigation with simple saline solution and Rivanol-oxyful solution and 3) irrigation with antifungal solution such as Amphotericin B (0.1-1.0%) in Aspergillosis and others.
社団法人日本耳鼻咽喉科学会の論文