PT  - JOURNAL ARTICLE
AU  - Marglani, Osama
TI  - Update in the management of allergic fungal sinusitis
DP  - 2014 Aug 01
TA  - Saudi Medical Journal
PG  - 791--795
VI  - 35
IP  - 8
4099  - http://smj.org.sa/content/35/8/791.short
4100  - http://smj.org.sa/content/35/8/791.full
SO  - Saudi Med J2014 Aug 01; 35
AB  - Over the last 3 decades, allergic fungal sinusitis (AFS) has been defined as a clinically and pathologically distinct form of chronic rhinosinusitis. The etiology, pathogenesis, and natural history of the disease has not been fully understood, and the appropriate treatment for AFS is also controversial. The management of AFS includes a combination of functional endoscopic sinus surgery and medical treatment in the form of pre- and post-operative systemic steroids, local steroids, and allergic immunotherapy. Close follow-up and coordination between the surgeon and physician is needed for optimum outcome. Despite aggressive medical and surgical treatment, high recurrence rates have been reported. In this review, we study the current literature and data regarding various surgical and non-surgical treatment options for AFS.