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Stomatologija 2024; 26 (4): 89-94 285 KB

Diagnostic and therapeutic aspects of chronic maxillary sinusitis caused by fungal infections: A review of the literature

Miglė Miškinytė¹, Vėjūnė Rupeikaitė¹, Bozena Barbara Sakson¹, Ričardas Kubilius²

Summary

Relevance of the problem and aim of the work. Chronic fungal maxillary sinusitis is an increasingly diagnosed condition in clinical practice. The diagnostic and therapeutic processes remain complex due to the nonspecific nature of clinical manifestations and the absence of standardized management protocols. The objective of this study is to assess the reliability and efficacy of current diagnostic and therapeutic methods based on recent scientific evidence.

Materials and methods. A systematic literature review was conducted following PRISMA guidelines. PubMed, ScienceDirect, and Cochrane Library were searched for English-language articles (2016–2024) on diagnostic and therapeutic approaches for chronic fungal maxillary sinusitis.

Results. The analysis revealed that diagnostic and treatment strategies for chronic fungal sinusitis depend on the clinical form. MRI and histopathology proved most accurate for diagnosing invasive sinusitis, while CT was more suitable for non-invasive types. Clinical symptoms were common but not specific enough for definitive diagnosis. Surgical treatment alone was effective for non-invasive cases, whereas invasive forms required both surgery and antifungal therapy. Allergic fungal sinusitis was primarily managed with systemic corticosteroids.

Conclusions. Effective management of chronic fungal maxillary sinusitis relies on accurate classification of the disease form. Radiological imaging and histological analysis are the most reliable diagnostic methods. Treatment should be form-specific: surgery for non-invasive cases, combined surgical and antifungal therapy for invasive forms, and corticosteroids for allergic fungal sinusitis.

Key words: maxillary sinus, fungal infection, chronic sinusitis, diagnosis, treatment.

Received: 09 05 2024

Accepted for publishing: 23 12 2024

¹Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania

²Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania

Address correspo ndence to Miglė Miškinytė, Faculty of Odontology, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161, Kaunas, Lithuania.

E-mail address: migle.miisk@gmail.com



	Baltic Dental and Maxillofacial Journal

2024, Vol. 26, No. 4 CONTENTS REVIEWS Diagnostic and therapeutic aspects of chronic maxillary sinusitis caused by fungal infections: A review of the literature Miglė Miškinytė, Vėjūnė Rupeikaitė, Bozena Barbara Sakson, Ričardas Kubilius 89 -94 Transition from fibrous to bony ankylosis of the temporomandibular joint: A narrative literature review Nijolė Krasilnikova, Airida Vaikšnytė, Akvilė Strazdaitė, Žygimantas Petronis 95-100 SCIENTIFIC ARTICLES Oral health evaluation of autistics in a reference institution Láyla Beatriz Garcia Lopes, Maria Karen Vasconcelos Fontenele, Beatriz Leal de Freitas, Francisco Dário de Sousa Carvalho, Ronaldo Carvalho Pinto de Almeida, Daniela Andrisia Teixeira Messias, Andressa dos Santos Sousa, Samuel Fontes Batista, Gardene Paiva Magalhães, Carlos Alberto Monteiro Falcão, Cinthya do Melo Val, Maria Ângela Arêa Leão Ferraz 101 -105 CASE REPORT An unusual case report of peri-implant cystic lesion Loutfi Salti, Khaled Al-ouf 106-110 © 2025 Stomatologija		Stomatologija 2024; 26 (4): 89-94 285 KB Diagnostic and therapeutic aspects of chronic maxillary sinusitis caused by fungal infections: A review of the literature Miglė Miškinytė¹, Vėjūnė Rupeikaitė¹, Bozena Barbara Sakson¹, Ričardas Kubilius² Summary Relevance of the problem and aim of the work. Chronic fungal maxillary sinusitis is an increasingly diagnosed condition in clinical practice. The diagnostic and therapeutic processes remain complex due to the nonspecific nature of clinical manifestations and the absence of standardized management protocols. The objective of this study is to assess the reliability and efficacy of current diagnostic and therapeutic methods based on recent scientific evidence. Materials and methods. A systematic literature review was conducted following PRISMA guidelines. PubMed, ScienceDirect, and Cochrane Library were searched for English-language articles (2016–2024) on diagnostic and therapeutic approaches for chronic fungal maxillary sinusitis. Results. The analysis revealed that diagnostic and treatment strategies for chronic fungal sinusitis depend on the clinical form. MRI and histopathology proved most accurate for diagnosing invasive sinusitis, while CT was more suitable for non-invasive types. Clinical symptoms were common but not specific enough for definitive diagnosis. Surgical treatment alone was effective for non-invasive cases, whereas invasive forms required both surgery and antifungal therapy. Allergic fungal sinusitis was primarily managed with systemic corticosteroids. Conclusions. Effective management of chronic fungal maxillary sinusitis relies on accurate classification of the disease form. Radiological imaging and histological analysis are the most reliable diagnostic methods. Treatment should be form-specific: surgery for non-invasive cases, combined surgical and antifungal therapy for invasive forms, and corticosteroids for allergic fungal sinusitis. Key words: maxillary sinus, fungal infection, chronic sinusitis, diagnosis, treatment. Received: 09 05 2024 Accepted for publishing: 23 12 2024 ¹Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania ²Department of Maxillofacial Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania Address correspo ndence to Miglė Miškinytė, Faculty of Odontology, Lithuanian University of Health Sciences, Eivenių g. 2, LT-50161, Kaunas, Lithuania. E-mail address: migle.miisk@gmail.com