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Year : 2009  |  Volume : 11  |  Issue : 1  |  Page : 25-31

Socioeconomic factors and ethnicity in the course of pediatric allergic fungal sinusitis with bone erosion in Saudi Arabia and Egypt

1 Department of ENT Surgery, El MenoufyiaUniversity, Egypt
2 Department of ENT surgery, El Iman Hospital, Riyadh, Saudi Arabia
3 Department of ENT Surgery, Riyadh, Medical Complex, Riyadh, Saudi Arabia
4 Department of ENT Surgery, Prince Salman Hospital, Riyadh, Saudi Arabia
5 Department of Radiobiology, El Menoufyia University, Egypt

Correspondence Address:
Omar A El-Banhawy
7th floor, Borge El-Ula, El-Shoula Square, El-Mansoura, Dakahlia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.275322

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Objective: to study the socioeconomic factors and ethnicity in the course of pediatric allergic fungal sinusitis (AFRS) with bone erosion who underwent endo-nasal endoscopic surgery (EES) in Saudi Arabia and Egypt Design and Setting: Descriptive retrospective review study conducted during 5 years period at the ENT Department of El Menoufyia University Hospital, Egypt, Al Iman General Hospital and Riyadh Medical complex, Saudi Arabia.. Methods:Twenty patients (age range, 5-17 years; mean age, 13.1 years; median age, 13.5 years) met previously published criteria for AFRS. Thirteen patients were males and 7 were females. Thirteen were Saudi and 7 were Egyptian. All underwent endo-nasal endoscopic surgery ( EES) after short period of oral systemic corticosteroids followed by postoperative nasal corticosteroid spray. Age, sex, presentation, preoperative serum IgE levels, radiological extent of disease, intra-operative evaluation and recurrence rates were compared in Saudi and Egyptian patients. Result: Twelve patients (60%) presented with radiographic and intra-operative evidence of intra-orbital extension and /or ventral skull base erosion. They were 9 Saudi (7 male and 2 female) and 3 males Egyptian. Facial dysmorphism, was seen in 9 patients (45 %). Postoperative recurrence was seen in 9 patients (7 Saudi and 2 Egyptian). Conclusion: Although Saudi AFRS patients have higher socioeconomic status than Egyptians (both belong to the same ethnic group), Saudi AFRS patients were found to have a more aggressive form of the disease with more intraorbital and/or intra-cranial extra-dural extension. These finding are in contrast with the previously published series of AFRS patients. However, further studies would be necessary before the results of these studies could be generalized worldwide.

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