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Journal of Case Reports
Paediatric AFRS: Endoscopic Sinus Surgery: A Game Changer in Restoring Facial Cosmesis
Ramkumar Rethinasamy, Lokesh Kumar Penubarthi, Sabharisan Paramasivam
Department of ENT, JIPMER, Pondicherry, India.
Corresponding Author:
Dr. Lokesh Kumar Penubarthi
Email: ramrethin10@gmai.com
Received: 21-MAY-2023 Accepted: 30-OCT-2023 Published Online: 25-DEC-2023
DOI: http://dx.doi.org/10.17659/01.2023.0032
Background: Paediatric allergic fungal rhinosinusitis is a subtype of chronic rhinosinusitis with significant focus in the paediatric population owing to early onset and difficulty managing through adult treatment options. Case Report: A 13-year-old male presented with nasal obstruction and facial deformity persisting for ten months. Examination revealed polypoidal tissue in both nasal cavities. Imaging showed involvement of all paranasal sinuses with tissue changes extending to the pons and compressing the frontal lobe. Endoscopic sinus surgery, coupled with steroids, cleared the disease. Histopathology and fungal cultures indicated allergic fungal rhinosinusitis. Post-surgery, nasal symptoms resolved, and after six months, facial deformity improved without need for further cosmetic interventions, leaving the parents satisfied. Conclusion: This case report highlights the need for early surgical intervention and monitored use of peri-operative steroids in paediatric AFRS.
Keywords : Allergic Fungal Rhinosinusitis, Deformities, Nasal Cavity, Nasal Obstruction, Steroids.
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