From Jubilee Hospital, Trivandrum, Kerala, South India.
Large number of people with chronic sinusitis are actually suffering from fungal sinus infections and non responsive to any antibiotic. There are a variety of forms of fungal sinusitis, including allergic fungal sinusitis, fungus ball, and invasive fungal sinus infections that occur in people with suppressed immune systems. The treatment of choice is generally surgery.I always do radical antrostomy -Caldwel Luc and FESS combined- which is the best way to eradicate all the disease, and this is followed by systemic steroids, antifungal (ketoconazole or itraconazole) and antihistamines.
