Abstract:

Objective   To investigate the operative skill and therapeutic effect of sinus surgery under nasal endoscope for fungal sphenoid sinusitis.　Methods   A total of 32 cases of fungal sphenoid sinusitis were enrolled from June 2006 to June 2009. The image features and clinical manifestations were summarized, and the points of operation and therapeutic effectiveness were analyzed.　Results   CT scanning showed apparent reflection of calcification with high density of spots or strips in the lumen of the sphenoid sinus, which were the specific features. The main clinical manifestation included headache and bloody nasal discharge. All these cases treated under nasal endoscope were cured without nasal adhesion and relapse during a follow-up period of 12-18 months after the surgery.  Conclusions   Sinus CT examination can improve the diagnostic rate of fungal sphenoid sinusitis. Nasal endoscopic surgery is a preferred procedure for the treatment of fungal sphenoid sinusitis, with advantages such as clear surgical vision field，minimal invasive, much less bleeding and high security.

Key words: Nasal endoscopic surgery; Sphenoid sinusitis; Fungal infections