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Multimodal management for acute invasive fungal rhinosinusitis

  • Lucia Diaz Garcia
    Affiliations
    Department of Otolaryngology—Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia
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  • Kent Lam
    Correspondence
    Address reprint requests and correspondence: Kent Lam, MD, Department of Otolaryngology—Head and Neck Surgery, Eastern Virginia Medical School, 600 Gresham Drive, Suite 1100, Norfolk, VA 23507.
    Affiliations
    Department of Otolaryngology—Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia
    Search for articles by this author
Published:August 23, 2017DOI:https://doi.org/10.1016/j.otot.2017.08.003
      Acute invasive fungal rhinosinusitis (IFRS) is an aggressive sinonasal infection that is associated with a high risk of morbidity and mortality. Acute IFRS typically affects individuals with a deficient immune system and is characterized by a fulminant proliferation of tissue invasion by opportunistic fungal species. The early diagnosis and management of acute IFRS play important roles in improving the disease prognosis. The management of acute IFRS requires a multimodal approach that relies on both medical and surgical interventions. This article highlights general considerations for both the medical and surgical strategies for treatment of acute IFRS as a rhinologic emergency.

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