HelloMD.com: Oto- Rhino-
Laryngology ( Ear , Nose and Throat)
Rhinology ( Nose and
Paranasal Sinuses )
What are the Signs and Symptoms?
AFS normally presents with signs and symptoms of nasal airway
obstruction, allergic rhinitis, or chronic sinusitis that includes
nasal congestion, purulent Nasal discharge, postnasal drainage, or
headaches. Often, presentation of AFS is subtle. Patients typically
complain of gradual nasal airway obstruction and production of
semi-solid sticky nasal crusts . Development of nasal airway
obstruction may have been so gradual that the patient is unaware of
its presence. Because of is slow progression, if facial asymmetry is
present, its progression often is unrecognized by the patient and
family members. Pain is uncommon among patients with AFS and suggests
the concomitant presence of a bacterial rhinosinusitis. Patients with
AFS are allergic but generally have been unresponsive to
antihistamines, intranasal corticosteroids, and prior immunotherapy.
Use of systemic corticosteroids may produce some relief of symptoms,
but relapse is typical following completion of therapy. In contrast to
patients who suffer invasive fungal sinusitis, patients with AFS
always are immunocompetent. The range of physical findings on
examination typically is broad, from nasal airway obstruction
resulting from nasal inflammation and polyposis to gross facial
disfigurement and orbital or ocular abnormalities.
What is the treatment ?
All patients with AFS should have surgical debridement of their
sinuses Endoscopic sinus surgery offers the best and most
comprehensive surgical option followed meticulously by judicious
Post-operative Endosopy. Oral Corticosteroids have prominent role in
reducing the recurrence which may have to be given for prolonged
periods . Any recurrent disease should be surgically removed as well.
 Nasal
/ Paranasal tumors
The following is the treatment for common tumors :
Inverted Pqpilloma is the commonest benign tumor of nose and
the treatment is essentially surgical . Endosocpic surgery is another
option in expert hands . External surgery is often successful.
Cancers of various types need combined
option of Radical/ partial surgery with or without radiotherapy
depending on the stage of the cancer.
All the facilities needed for detection and
treatment of all the tumors of the nose exist along with our team of
experts including Rhinologist , Radiotherapists, Plastic surgeons,
Pathologists.
Endoscopic Sinus surgery
This non invasive technique of the surgery in the nose has well
established throughout the world . We also have our experienced team
of Endoscopic surgeons trained at the best of centres in the world.
The instruments for such surgery which include rigid nasal endoscopes
of various angles, Endo-cameras , Microdebrider , Intranasal drill,
recording equipment for documentation are fully available with us. The
various conditions in which our team of endoscopic surgeons routinely
perform surgery are:
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