Diagnosis and management of allergic fungal sinusitis with orbital involvement

Purpose: Allergic fungal sinusitis (AFS) is a noninvasive disease character ized by recurrent sinusitis. This condition is commonly treated with surgic al debridement and several months of systemic corticosteroids. The treatmen t of AFS is examined in this study. Methods: A retrospective case series of three patients with AFS. Results: All three patients were treated with surgical debridement and less than one month of systemic corticosteroids. The patients then were treated with intranasal corticosteroids and monitored closely. Antifungal therapy was not used. All three patients remained disease-free during follow-up ran ging from 12 months to 36 months. Conclusions: Surgical debridement and systemic corticosteroids for less tha n four weeks followed by intranasal corticosteroids may provide long-term c ontrol of AFS. Additional study is recommended to examine further the optim al treatment for AFS.