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Beitragstitel The place of the radiology in invasive fungal rhinosinusitis
Beitragscode P22
Autor:innen
  1. Sonia Macario HUG Hôpitaux Universitaires Genève Präsentierende:r
  2. Ricardo Correia HUG Hôpitaux Universitaires Genève
  3. Basile Landis Hôpitaux Universitaire de Genève HUG
  4. François Voruz HUG Hôpitaux Universitaires Genève
Präsentationsform Poster
Themengebiete
  • Innovation und Zukunftsentwicklung in der ORL
Abstract-Text The objective is to demonstrate, through the use of three cases of proven invasive fungal rhinosinusitis, the key role played by radiology in the diagnosis process. 

Symptoms and signs of invasive fungal rhinosinusitis in immunocompromised patients are unspecific and a high clinical suspicion index is needed. 

Computed tomography reveals unspecific signs of rhinosinusitis and rarely bone erosion. Magnetic resonance, however, is able to show signs of mucosal necrosis and deep tissue inflammation, giving rise to an increase in the suspicion of an invasive process. The MR imaging of each of the three cases showed suspicious areas of non-enhancing mucosa compatible with necrosis, where biopsies were performed, and the definitive histological diagnosis of invasive fungal rhinosinusitis was confirmed.
 
Invasive fungal sinusitis is a rare and difficult-to-diagnose pathology that typically affects immunocompromised patients and carries a high mortality rate. Magnetic resonance imaging plays a key role in the management and therefore the prognosis of the patient​.