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European Archives of Oto-Rhino-Laryngology

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30-06-2023 | Rhinosinusitis | Rhinology

Clinical features of chronic fungal rhinosinusitis in Korean geriatric and non-geriatric patients

Authors: Cheol Hyo Ku, Ha Neul Lee, Sang Man Park, Hyun Su Lee, Jae Woo Lee, Se Hwa Hong, Dong-Joon Park, Eun Jung Lee

Published in: European Archives of Oto-Rhino-Laryngology | Issue 11/2023

Abstract

Purpose

Worldwide, the incidence of chronic fungal rhinosinusitis (CFRS) has increased. Although ageing leads to weakening of the immune system, which increases susceptibility to CFRS, the CFRS characteristics in geriatric patients are unclear. Therefore, we comparatively analysed the clinical characteristics of CFRS in geriatric and non-geriatric patients.

Methods

This retrospective analysis compared the demographics, rhinologic symptoms, multiple allergen simultaneous tests, olfactory function tests, paranasal sinus computed tomography findings, and outcomes of 131 patients with CFRS who underwent functional endoscopic sinus surgery and 131 enrolled patients were divided in geriatric (> 65 years) and non-geriatric (≤ 65 years) groups.

Results

Among the geriatric and non-geriatric participants (n = 65, 49.6% and n = 66, 50.4%, respectively), hypertension and diabetes mellitus were more common in the geriatric group. Demographics, including symptoms, showed no significant intergroup differences. Normosmia and hyposmia were significantly less prevalent, whereas phantosmia and parosmia were more prevalent in the geriatric group than in the non-geriatric group (p = 0.03 and p = 0.01, respectively). Sphenoidal sinus involvement was significantly higher in geriatric patients than in non-geriatric patients (p = 0.02).

Conclusion

Based on greater sphenoidal sinus involvement, a deeper anatomical area is more vulnerable to fungal infection in the geriatric group than in the non-geriatric group. Increasing clinicians’ awareness of CFRS in geriatric patients with olfactory dysfunction, including phantosmia and parosmia, is important for early intervention.

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Title: Clinical features of chronic fungal rhinosinusitis in Korean geriatric and non-geriatric patients
Authors: Cheol Hyo Ku
Ha Neul Lee
Sang Man Park
Hyun Su Lee
Jae Woo Lee
Se Hwa Hong
Dong-Joon Park
Eun Jung Lee
Publication date: 30-06-2023
Publisher: Springer Berlin Heidelberg
Keywords: Rhinosinusitis
Smelling Disorder
Smelling Disorder
Published in: European Archives of Oto-Rhino-Laryngology / Issue 11/2023
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08089-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical features of chronic fungal rhinosinusitis in Korean geriatric and non-geriatric patients

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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