Title : Invasive fungal sinusitis, correlation of the radiological and intraoperative findings
Abstract:
Acute invasive fungal sinusitis though uncommonly encountered, is a life threatening condition with a high mortality rate. It progresses rapidly from the time of diagnosis and may result in death in a short span of time if left untreated. Here we present the MRI / CT imaging findings of invasive mucormycosis and correlate them with exclusive intra op findings/pictures in a series of 30 histo-pathologically proven cases of invasive Sino-nasal Mucormycosis. Invasive fungal sinusitis spreads rapidly may involve the orbit, crania-facial bones and may spread intra cranially through varied routes and may result in dreadful complications. Hence it requires an instant diagnosis on imaging followed by a multi-departmental treatment approach. CT / MRI images are presented and correlated simultaneously with intra operative findings/images, which include exclusive images from FESS(Functional Endoscopic Sinus Surgery), and invasive neurosurgical procedures involved in the treatment of invasive fungal sinusitis. The idea behind our exhibit is to actually correlate what the radiologists see on CT/MRI and what the surgeons see during the surgical procedures in patients with invasive mucormycosis. We would be depicting the actual intra-operative appearance of different imaging signs of invasive fungal sinusitis.
