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Article Type

Article

Abstract

Background: Allergic fungal rhinosinusitis is an increasingly recognized cause of refractory chronic sinusitis, the clinical and pathological features of such diagnosis remains a matter of conjecture for which several theories have been offered. Most patients experience remittent disease despite corticosteroid therapy and aggressive sinus surgery.

Objective: To present our experience in managing twenty patients with AFS divided into two groups to compare the outcome after addition of oral itraconazol to our treatment protocol.

Methods: Twenty patients with clinically diagnosed (AFS), treated with functional endoscopic sinus surgery followed by postoperative systemic and topical nasal steroids with or without oral itraconazole for at least 3 months.

Results: Significant improvements in the itraconazole arm (group A) were noted regarding the early signs of relapse.

Conclusion: Systemic itraconazol is an effective adjunctive to systemic and topical steroid therapy.

Keywords: Allergic fungal rhinosinusitis, systemic antifungal, management outcome.

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