RESUMO
Les differents aspects de la sinusite maxillaire chronique sont rappeles: physiopathologie; diagnostic; traitement. A partir d'une petite serie de 10 cas; nait une reflexion qui permet de comparer la pratique universelle moderne a une experience vecue dans un pays ou les moyens diagnostiques et therapeutiques font defaut. La chirurgie fonctionnelle endoscopique; de plus en plus utilisee dans certains pays; n'est helas pas encore envisageable dans d'autres; ou; pourtant; une attitude sans equivoque doit etre adoptee face a la sinusite maxillaire chronique
Assuntos
Endoscopia/métodos , Sinusite Maxilar/cirurgiaRESUMO
83 cases of mycotic otitis of external ear are reported during a period of 27 months from three departments of otorhinolaryngology in Libreville (Gabon, Central Africa) Prevalence is estimated at about 25% among all infectious otitis. The main functional signs are pruritus, otorrhea, pain and hypoacousia. The physical examination shows masse of white, grey, black or creamy caseous debris, invading the external auditory meatus (EAM) which is sometimes inflammatory. Fungal species responsible of otitis are Aspergillus (54%), yeasts (45%) mainly Candida, infrequently Fusarium (1%). A niger (26%), A. flavus (17%), Candida parapilosis (18%), Candida albicans (9%) are predominant species isolated (70%) among all the 21 species of identified fungi from otomycosis in Gabon. Therapy, done by thorough washing of the ear followed by insertion into the EAM of a wick soaked in Econazole or Amphotericin B, is quickly effective.
