Therapeutic aid at the stages of treatment of fungal rhinosinusitis

The observed trend towards an increase in fungal lesions of the ENT organs is of great importance for practical otorhinolaryngology. In this context, mycotic lesions of the nasal cavity and paranasal sinuses are of particular relevance. This is due, on the one hand, to the peculiarities of the pathways of mycotic contamination and the variability of the clinical course of sinusitis, on the other hand, to the issues of proper verification of the disease and the choice of adequate treatment tactics. Using modern diagnostic methods, including radiation, it is not difficult to detect darkening of the paranasal sinuses, but at the same time, the fungal body itself is not always visualized, especially when the frontal sinuses are affected. The acquisition of a refractory course of the disease leads to additional bacterial contamination of the paranasal sinuses, contributing to the formation of chronic rhinosinusitis, but of a mixed etiology. The treatment of patients with fungal lesions of the paranasal sinuses is surgical with mandatory antifungal therapy. The article briefly describes the etiopathogenetic mechanisms of formation of fungal lesions of the nasal cavity and paranasal sinuses, the clinical course of the disease, modern methods of diagnosis and treatment, including a clinical case of a successfully treated patient with chronic fungal frontitis.