OBJECTIVE: To compare the incidence of bony erosion associated with allergic fungal rhinosinusitis (AFRS) with the incidence of bony erosion seen in other types of inflammatory sinusitis.
STUDY DESIGN: Retrospective review.
RESULTS: AFRS was diagnosed in 27 patients, and 15/27 (56%) had bony skull base or orbital erosion. Non-AFRS chronic sinusitis required surgery in 158 patients, but only 8 (5%) had bony skull base or orbital erosion (P < 0.01). AFRS patients were 12.6 times (P < 0.01) more likely to have bony erosion than non-AFRS patients. African American males were 15.0 times (P < 0.01) more likely to have bony erosion than whites and African American females combined.
CONCLUSION: Bony erosion with intracranial and intraorbital extension is much more common in AFRS than all other types of inflammatory sinusitis combined. African American males have a higher incidence of AFRS, as well as intracranial and intraorbital extension.
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References
1.
MillarJWJohnstonALambD.Allergic aspergillosis of the maxillary sinus. Thorax1981;36:710. (Grade D).
2.
KatzensteinALSaleSRGreenbergerPAAllergic Aspergillus sinusitis: A newly recognized form of sinusitis. J Allergy Clin Immunol1983;72:89–93. (Grade D).
3.
BentJP 3rdKuhnFADiagnosis of allergic fungal sinusitis. Otolaryngol Head Neck Surg1994;111:580–8. (Grade C).
4.
KinsellaJBRassekhCHBradfieldJL. Allergic fungal sinusitis with cranial base erosion. Head Neck1996;18:211–7. (Grade C).
5.
ManningSCMerkelMKrieselK. Computed tomography and magnetic resonance diagnosis of allergic fungal sinusitis. Laryngoscope1997;107:170–6. (Grade C).
