Endoscopic assessment of sinonasal mucormycosis with SPIES: The ‘battlefield’ sign

  • Authors:
    • Viorel Zainea
    • Irina Gabriela Ionita
    • Silviu Pituru
    • Cătălina Pietroșanu
    • Andreea Rusescu
    • Cristian Dragos Stefanescu
    • Florentina Gherghiceanu
    • Florin Anghelina
    • Dragos Palade
    • Razvan Hainarosie
  • View Affiliations

  • Published online on: November 25, 2021     https://doi.org/10.3892/etm.2021.11000
  • Article Number: 77
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Sinonasal mucormycosis is an extremely challenging pathology for the ear, nose and throat (ENT) surgeon from a therapeutic point of view. The disease affects immunocompromised patients and exhibits lethal potential. Although the diagnosis is relatively easy to suspect due to the distinctive clinical aspects which consists of black crusting present in the nasal fossae able to be confirmed by biopsy, the treatment requires resection of all affected tissue with safety limits. Due to the tendency of invasion associated with this fungal infection and taking into account the location involved (the sinonasal area) and the grave condition of these patients, it is extremely important to perform only the minimal resection necessary, but that includes all tissue infected by the fungus. This article presents a minimally invasive method of evaluation that can be performed during endoscopic surgical intervention and that aids the surgeon to better evaluate the affected area. It is associated with no additional risks for the patients, but it helps the surgeon to perform the intervention efficiently while not damaging healthy tissue. The authors consider that the method presented will aid the surgeon during the endoscopic surgical intervention in evaluating the lesion and resecting all the affected tissue while preserving healthy areas.

Related Articles

Journal Cover

January-2022
Volume 23 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Zainea V, Ionita IG, Pituru S, Pietroșanu C, Rusescu A, Stefanescu CD, Gherghiceanu F, Anghelina F, Palade D, Hainarosie R, Hainarosie R, et al: Endoscopic assessment of sinonasal mucormycosis with SPIES: The ‘battlefield’ sign. Exp Ther Med 23: 77, 2022
APA
Zainea, V., Ionita, I.G., Pituru, S., Pietroșanu, C., Rusescu, A., Stefanescu, C.D. ... Hainarosie, R. (2022). Endoscopic assessment of sinonasal mucormycosis with SPIES: The ‘battlefield’ sign. Experimental and Therapeutic Medicine, 23, 77. https://doi.org/10.3892/etm.2021.11000
MLA
Zainea, V., Ionita, I. G., Pituru, S., Pietroșanu, C., Rusescu, A., Stefanescu, C. D., Gherghiceanu, F., Anghelina, F., Palade, D., Hainarosie, R."Endoscopic assessment of sinonasal mucormycosis with SPIES: The ‘battlefield’ sign". Experimental and Therapeutic Medicine 23.1 (2022): 77.
Chicago
Zainea, V., Ionita, I. G., Pituru, S., Pietroșanu, C., Rusescu, A., Stefanescu, C. D., Gherghiceanu, F., Anghelina, F., Palade, D., Hainarosie, R."Endoscopic assessment of sinonasal mucormycosis with SPIES: The ‘battlefield’ sign". Experimental and Therapeutic Medicine 23, no. 1 (2022): 77. https://doi.org/10.3892/etm.2021.11000