Allergic Fungal Rhinosinusitis Clinical Management Update: From Clinic to OR (2023 AMW)
2023 AAO-HNSF Annual Meeting & OTO Experience
Allergic Fungal Rhinosinustis (AFRS) is a severe subtype of Chronic Rhinosinusitis with nasal polyps characterized by thick eosinophilic mucin containing fungal hyphae. Practitioners face several challenges treating AFRS:- Heterogeneous clinical presentation- Rapid recurrence in mucin and polyps in >50% of patients- Frequent advanced disease at presentation with bony erosion/destruction- Mass effect on the orbit or intracranial space, which can cause erroneous concern for tumors when improperly imaged
Additionally, the impact of Social Determinants of Health have an important role in this disease. The panelists have published and unpublished data that indicates that this disease disproportionately impacts racial and ethnic minorities and those of lower socioeconomic status. This panel will guide practitioners through these challenges to perform appropriate work-up and how to develop a multi-provide the best clinical management for AFRS.
Credits
CME:1.0, MOC:1.0