Samir Thakare1, Dinesh Vaidya2, Ashlesha Chaudhary3, Kalpana Hazirnis4, Santosh Bhondawe5
ABSTRACT: Aggressive Allergic fungal sinusitis with bony destruction, deviation of eye, proptosis & anosmia required extensive surgical approach. However with newer modalities like CT scan & MRI imaging, Endoscopic staging & biopsy, FESS with powered instrumentation (microdebrider) external approaches can be avoided. CT & MRI imaging helps to determine nature, extent of disease & planning of surgical approach. Conservative endoscopic approach is now the treatment of choice for such aggressive fungal sinusitis. CASE REPORT: We are presenting a case of 29 year old male with aggressive AFRS with nasal obstruction, anosmia, bony destruction, deviation of eye & proptosis. CT, Biopsy & histopathology were suggestive of AFRS. Excision of AFRS was done by Endoscopic sinus surgery with post op steroids. CONCLUSION: Aggressive fungal rhinosinusitis presenting with nasal mass, bony destruction, deviation of eye & proptosis can be managed best with Endoscopic sinus surgery. CT, Endoscopic staging, biopsy & Histopathology are important diagnostic tools.
