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Abstract

Invasive fungal rhinosinusitides are a group of disorders with three subtypes (acute invasive fungal rhinosinusitis, chronic invasive fungal rhinosinusitis and granulomatous invasive fungal rhinosinusitis), requiring urgent diagnosis and early treatment due to the reserved vital and functional prognosis. This disorder occurs in immunocompromised patients, but it can also occur in immunocompetent people. Aspergillus and Mucormicosis species are the most common microorganisms found in invasive fungal rhinosinusites. The otorhinolaryngologic clinical examination and imaging techniques provide important diagnostic information in patients with risk factors for invasive fungal rhinosinusitis, including intracranial or orbital extension identification. The treatment of invasive fungal rhinosinusites (acute or chronic) consists of reversing immunosuppression, appropriate systemic antifungal therapy and aggressive and prompt surgical debridement of the affected tissues.

Romanian Rhinologic Society 199 (22) THERAPEUTIC MANAGEMENT IN CHRONIC RHINOSINUSITIS: MEDICAL AND SURGICAL TREATMENT (ENDOSCOPIC SURGERY VERSUS CLASSIC SURGERY) Andreea-Elena Ghitulescu¹, Alina Georgiana Anghel², Mihaela Tatu¹, Viorel Vracioiu¹, Alina-Georgiana Vulcu¹, Ion Anghel¹ ¹Central Military University Emergency Hospital, Bucharest, Romania; ²“Sfanta Maria” Clinical Hospital, Bucharest, Romania PURPOSE: Chronic rhinosinusitides represent infec- tions of the paranasal sinuses due to long-term ob- struction of the ostiomeatal complex outflow and are a