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June 5, 2023Allergic fungal sinusitis is a condition characterized by an exaggerated immune response to fungal organisms in the sinuses. It commonly affects individuals with chronic sinusitis, weakened immune systems, or allergies. This condition occurs when the body's immune system overreacts to the presence of fungi, leading to inflammation and the formation of nasal polyps. These polyps can obstruct the sinuses, causing symptoms such as nasal congestion, facial pain, headaches, and a reduced sense of smell. The diagnosis requires a thorough evaluation by an otolaryngologist, and treatment involves a multidisciplinary approach that includes medication and, in some cases, surgery. Minimizing exposure to fungal spores and managing underlying allergies or immune deficiencies is also important for prevention and symptom management.
Allergic Fungal Sinusitis: current video describes Unilateral fungal sinusitis with heavy presence of fungus.
Allergic fungal sinusitis: current video describes in detail Unilateral fungal sinusitis with heavy presence of fungus and endoscopic sinus surgery from start to finish. The surgery was performed by Dr Akbar Abbas who is one of the best ENT surgeon in Pakistan, he specializes in otolaryngology, cochlear implants, ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan.
allergic fungal sinusitis: current video describes Unilateral fungal sinusitis with heavy presence of fungus. Endoscopic sinus surgery is performed from start to finish in this video.
This surgery aims to remove fungal material, reduce inflammation, and improve sinus drainage. Let’s begin!
Step 1: Patient preparation
We have positioned the patient in a supine position and administered general anesthesia to ensure their comfort throughout the procedure.
Step 2: Insertion of the endoscope
To start, I am inserting the endoscope gently through the patient’s nostrils. The endoscope allows us to visualize the nasal passages and sinuses on a screen.
Step 3: Visual examination
As the endoscope reaches the sinuses, I am carefully examining the extent of fungal involvement and checking for any structural abnormalities or polyps.
Step 4: Removal of fungal material
Now that we have identified the fungal debris within the sinuses, I am using special instruments like microdebriders or suction devices to delicately remove the fungal material. This step is crucial to eliminate the source of inflammation and infection.
Step 5: Addressing anatomical abnormalities
In some cases, structural abnormalities or polyps may be contributing to poor sinus drainage. I am using the endoscope to address these issues, removing polyps, enlarging narrow passages, and optimizing sinus ventilation and drainage.
Step 6: Nasal packing and post-operative care
Following the procedure, I may place nasal packing briefly to support healing and reduce bleeding. The patient will receive saline rinses, antibiotics, and corticosteroid sprays to manage inflammation and aid in the healing process.
Step 7: Follow-up care
Once the surgery is complete, the patient will require regular follow-up visits for monitoring their progress, addressing any concerns, and managing long-term allergic fungal sinusitis. This may involve allergy testing, continuing medication use, and lifestyle modifications.
The video serves as a valuable educational tool, shedding light on the complexities of allergic fungal sinusitis and the intricate surgical techniques employed to alleviate its symptoms. By offering a step-by-step visual representation of endoscopic sinus surgery, it provides a unique perspective into the world of otolaryngology for medical professionals and curious viewers.
This is an educational video for students and patients for making informed decisions about their own and others health. The surgery was performed by Dr Akbar Abbas who is one of the best ENT specialist in Karachi, Pakistan. He specializes in otolaryngology, cochlear implants, ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan. Presently serving at Aga Khan University Hospital.
