Rinosinusitis fúngica no invasiva correlación clínica imagenológica, Hospital de Especialidades Teodoro Maldonado Carbo, julio 2014 - mayo 2017
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La rinosinusitis fúngica no invasiva, es una variante de la rinosinusitis crónica, afecta a persona inmunocompetente que han realizado múltiples tratamientos con antibióticos sin obtener una solución definitiva, es originado con la presencia de los hongos ambientales, mohos y levaduras que penetran con el aire, en la cavidad nasal y pueden desencadenar alergias respiratorias en sujetos atópicos/sanos. El objetivo general fue determinar la rinosinusitis fúngica no invasiva mediante la correlación clínica e imagenológica en el Hospital de especialidades Teodoro Maldonado Carbo julio 2014 a mayo del 2017, a través del análisis de las historias clínicas de pacientes atendidos en la consulta externa y sometidos a intervenciones quirúrgicas. La metodología de estudio es de diseño correlacional y descriptivo no esperimental, se pudo establecer la población de 772 de pacientes analizados, con una muestra significativa de 22.66% pacientes con rinosinusitis fúngica no invasiva. La incidencia de rinosinusitis fúngica no invasiva fue en la población comprendida entre 41 a 60 años, del sexo femenino son los más afectados. Las manifestaciones clínicas frecuente fue obstrucción nasal 31.02% rinorrea 26.70%, cefalea 22.92%, algia facial 22.29%. El 68,41% % de pacientes mostró microcalcificaciones intrasinusales en la tomografía computarizada con afectación del seno maxilar 60.16%. Conclusión: El diagnóstico de la rinosinusitis fúngica no invasiva se realiza mediante clínica, pruebas de imagen y el estudio histopatológico confirma el diagnóstico.
Non-invasive fungal rhinosinusitis, a variant of chronic rhinosinusitis, affects an immunocompetent person who have performed multiple antibiotic treatments without obtaining a definitive solution, is caused by the presence of environmental fungi, molds and yeasts that penetrate the air, in the nasal cavity and can trigger respiratory allergies in atopic / healthy subjects. The general objective was to determine noninvasive fungal rhinosinusitis through clinical and imaging correlation at the Teodoro Maldonado Carbo Specialty Hospital from July 2014 to May 2017, through the analysis of the medical records of patients seen at the outpatient clinic and undergoing interventions surgical procedures. The study methodology was non-experimental correlational and descriptive design, it was possible to establish the population of 772 patients analyzed, with a significant sample of 22.66% patients with noninvasive fungal rhinosinusitis. The incidence of non-invasive fungal rhinosinusitis was in the population between 41 and 60 years of age, female patients were the most affected. Frequent clinical manifestations were nasal obstruction 31.02% rhinorrhea 26.70%, headache 22.92%, facial algia 22.29%. 68.41%% of patients showed intrasinusal microcalcifications in the computed tomography with affectation of the maxillary sinus 60.16%. Conclusion: The diagnosis of noninvasive fungal rhinosinusitis is performed by clinical, imaging tests and the histopathological study confirms the diagnosis
Non-invasive fungal rhinosinusitis, a variant of chronic rhinosinusitis, affects an immunocompetent person who have performed multiple antibiotic treatments without obtaining a definitive solution, is caused by the presence of environmental fungi, molds and yeasts that penetrate the air, in the nasal cavity and can trigger respiratory allergies in atopic / healthy subjects. The general objective was to determine noninvasive fungal rhinosinusitis through clinical and imaging correlation at the Teodoro Maldonado Carbo Specialty Hospital from July 2014 to May 2017, through the analysis of the medical records of patients seen at the outpatient clinic and undergoing interventions surgical procedures. The study methodology was non-experimental correlational and descriptive design, it was possible to establish the population of 772 patients analyzed, with a significant sample of 22.66% patients with noninvasive fungal rhinosinusitis. The incidence of non-invasive fungal rhinosinusitis was in the population between 41 and 60 years of age, female patients were the most affected. Frequent clinical manifestations were nasal obstruction 31.02% rhinorrhea 26.70%, headache 22.92%, facial algia 22.29%. 68.41%% of patients showed intrasinusal microcalcifications in the computed tomography with affectation of the maxillary sinus 60.16%. Conclusion: The diagnosis of noninvasive fungal rhinosinusitis is performed by clinical, imaging tests and the histopathological study confirms the diagnosis
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Sinusitis crónica, Tomografía computarizada por rayos x, Senos paranasales, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador