Invasive Fungal Sinusitis: Diagnostic Challenges and Management Strategies

PROGRAM DESCRIPTION: Invasive fungal sinusitis is a highly morbid disease and a true otolaryngologic emergency. In this presentation, we will review the current data regarding the diagnosis (and challenges of diagnosis), treatment options, and outcomes for both acute and chronic invasive fungal sinusitis. We will examine symptomatology, pathology, and CT and MRI findings, the latter which can oftentimes guide surgical planning very precisely. We will cover indications for transfer to a tertiary medical center, and options for long term follow-up of these at-risk patients. Lastly, we will discuss future research needs to improve our understanding of this disease process and help guide patient management/improve patient outcomes. Every otolaryngologist will encounter this disease process in their careers at some point, and early diagnosis plus a basic understanding of treatment options are absolutely vital to ensure best possible patient outcomes.

OUTCOME OBJECTIVE 1: Demonstrate an understanding of the presentation, prognosis, and medical and surgical treatment algorithms for invasive fungal sinusitis, with an emphasis on early diagnosis and treatment

OUTCOME OBJECTIVE 2: Interpret symptomatology, pathology, and imaging findings consistent with an invasive fungal sinusitis diagnosis

OUTCOME OBJECTIVE 3: Review the most recent literature and evidence-based review with recommendations for the management of invasive fungal sinusitis, and discuss future research needs in order to better understand and treat this disease

BACKGROUND STATEMENT: Since patient presentation can mimic other less morbid conditions and imaging findings are complicated to interpret, especially in the post-op setting, there is a need to engage in conversation regarding management algorithms and treatment strategies of invasive fungal sinusitis patients.