J Neurol Surg B Skull Base 2025; 86(S 01): S1-S576
DOI: 10.1055/s-0045-1803412
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Allergic Fungal Sinusitis Eroding the Anterior Skull Base and Clivus

Catherine P. Policina
1   University of Miami, Coral Gables, Florida, United States
,
Corinna G. Levine
1   University of Miami, Coral Gables, Florida, United States
,
Zachary Helmen
1   University of Miami, Coral Gables, Florida, United States
,
Shivanand Avin Maharaj
1   University of Miami, Coral Gables, Florida, United States
› Author Affiliations
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    Chronic allergic fungal rhinosinusitis (AFRS) is typically nontissue invasive, but in rare occasion, can expand in the paranasal sinuses and cause bony erosion. We present a 34-year-old male with extensive AFRS eroding the anterior skull base and clivus. The video showcases complete bilateral endoscopic sinus surgery, removing all the allergic mucin and diseased mucosa with creation of a neo-sinus cavity in conclusion. The pathology revealed eosinophilic polyps and confirmed allergic type mucin with fungal hyphae.


     

    No conflict of interest has been declared by the author(s).

    Publication History

    Article published online:
    07 February 2025

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