Allergic fungal sinusitis (AFS) is a common type of fungal infection in the para nasal sinuses. The infecting fungi are found in the environment and cause an allergic reaction which results in thick fungal debris, sticky mucus and blockage of the infected sinus. Patients with AFS may have allergies, nasal polyps and may have asthma. As a result of the condition, most patients develop chronic sinusitis which may affect their sense of smell. Left untreated, this condition may lead to displacement of the eyeball and vision loss.
Comprehensive treatment with endoscopic sinus surgery with radical antrostomy followed by steroids and antifungal therapy is needed. Steroids may be given before and after the surgery. Long-term follow up is important.
The pictures given shows a 45 year old lady presented with AFS undergoing Caldwel luc and FESS under general anesthesia.
