진균성 부비동염: 수술적 치료군 298례에 대한 후향적 연구
Fungal Sinusitis: a Retrospective Analysis of Operated 298 Cases at a Single Medical Center, 2005-2015
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초록
Background: Many articles have reported an increased prevalence of fungal sinusitis in otherwise healthy individuals, although invasive fungal sinusitis is a well-documented disease in immunocompromised patients. Objective: This study aimed to analyze the linear trend of changes in clinical characteristics of fungal sinusitis from 2005 to 2015. Methods: Of the 3198 patients who underwent endoscopic sinus surgery between 2005 and 2015, 298 cases that were pathologically confirmed to be fungal sinusitis were retrospectively analyzed by reviewing their medical records. Results: From 2005 to 2015, the mean age of fungal sinusitis patients showed increasing trend. The number and the proportion of fungal sinusitis cases in FESS (functional endoscopic sinus surgery) patients showed increasing trend. The percentages of fungal sinusitis patients with hypertension, allergic rhinitis, and septal deviation also showed increasing trend for eleven years. There were no statistical relationship between the direction of septal deviation and affected sinuses. Conclusion: Fungal sinusitis had increased from 2005 to 2015. The age and comorbidities such as hypertension, allergic rhinitis, and septal deviation in fungal sinusitis patient had also increased.
Abstract
Background: Many articles have reported an increased prevalence of fungal sinusitis in otherwise healthy individuals, although invasive fungal sinusitis is a well-documented disease in immunocompromised patients. Objective: This study aimed to analyze the linear trend of changes in clinical characteristics of fungal sinusitis from 2005 to 2015. Methods: Of the 3198 patients who underwent endoscopic sinus surgery between 2005 and 2015, 298 cases that were pathologically confirmed to be fungal sinusitis were retrospectively analyzed by reviewing their medical records. Results: From 2005 to 2015, the mean age of fungal sinusitis patients showed increasing trend. The number and the proportion of fungal sinusitis cases in FESS (functional endoscopic sinus surgery) patients showed increasing trend. The percentages of fungal sinusitis patients with hypertension, allergic rhinitis, and septal deviation also showed increasing trend for eleven years. There were no statistical relationship between the direction of septal deviation and affected sinuses. Conclusion: Fungal sinusitis had increased from 2005 to 2015. The age and comorbidities such as hypertension, allergic rhinitis, and septal deviation in fungal sinusitis patient had also increased.
참고문헌 (21)
- Schubert J, "Zum Kasuistick des Aspergillus-mykosen", Dtsch Arch Klin Med, 36, pp.162~ (1885)
- 김수환, "진균성 부비동염의 임상적 고찰", 대한이비인후과학회지 두경부외과학, 48(3), pp.332~337 (2005), 대한이비인후과학회
- Elahi MM, "Paraseptal structural changes and chronic sinus disease in relation to the deviated septum", J Otolaryngol, 26, pp.236~240 (1997)
- Mostafa BE, "Environmental Risk Factors in Patients with Noninvasive Fungal Sinusitis", Scientifica, 2016 (2016)
- Park JH, "Clinical evaluation of fungal sinusitis", Korean J Otolaryngol, 37, pp.511~516 (1994)
- Lee BJ, "Fungal sinusitis:clinical features and treatment outcomes with emphasis on endoscopic sinus surgery", Korean J Otolaryngol-Head Neck Surg, 41, pp.318~322 (1998)
- 여창기, "부비동 진균구의 임상적 고찰：대구지역 다기관 연구", Journal of Rhinology, 12(2), pp.105~107 (2005), 대한비과학회
- Stammberger H, "Endoscopic surgery for mycotic and chronic recurring sinusitis", Ann Otol Rhinol Laryngol Suppl, 119, pp.1~11 (1985)
- Min YG, "A clinical study of mycotic sinusitis", Korean J Otolaryngol-Head Neck Surg, 36, pp.292~301 (1993)
- 신승헌, "진균성 비부비동염의 임상양상과 치료", 대한이비인후과학회지 두경부외과학, 54(7), pp.454~461 (2011), 대한이비인후과학회
- Deshazo RD, "Fungal sinusitis", Am J Med Sci, 316, pp.39~45 (1998)
- Katzenstein AL, "Allergic Aspergillus sinusitis: a newly recognized form of sinusitis", J Allergy Clin Immunol, 72, pp.89~93 (1983)
- Arsić-Arsenijević V, "Allergic fungal sinusitis-new aspects of clinical features, laboratory diagnosis and therapy", Srpski arhiv za celokupno lekarstvo, 141, pp.698~704 (2013)
- Lin L, "Clinical analysis of fungal rhino-sinusitis in 189 cases. Lin chuang er bi yan hou tou jing wai ke za zhi", J Clin Otorhinolaryngol-Head Neck Surg, 29, pp.2064~2066 (2015)
- Kapusuz Gencer Z, "The effect of nasal septal deviation on maxillary sinus volumes and development of maxillary sinusitis", Eur Arch Otorhinolaryngol, 270, pp.3069~3073 (2013)
- Park JY, "The relationship between septal deviation and paranasal sinusitis", Korean J Otolaryngol -Head Neck Surg, 38, pp.236~239 (1995)
- Troeltzsch M, "Etiology and clinical characteristics of symptomatic unilateral maxillary sinusitis: A review of 174 cases", J Craniomaxillofac Surg, 43, pp.1522~1529 (2015)
- 이성준, "비강의 해부학적 이상과 부비동염의 관계", 대한이비인후과학회지 두경부외과학, 45(11), pp.1069~1072 (2002), 대한이비인후과학회
- Orlandi RR, "A systematic analysis of septal deviation associated with rhinosinusitis", Laryngoscope, 120, pp.1687~1695 (2010)
- Prasad S, "Correlation study between nasal septal deviation and rhinosinusitis", Indian J Otolaryngol-Head Neck Surg, 65, pp.363~366 (2013)
- Kaygusuz A, "Sinonasal anatomical variations: their relationship with chronic rhinosinusitis and effect on the severity of disease—a computerized tomography assisted anatomical and clinical study", Indian J Otolaryngol-Head Neck Surg, 66, pp.260~266 (2014)