Varied presentations of complicated rhinosinusitis in COVID era: a rational approach to management

Abstract Aim To study the various presentations and manifestations of complicated rhinosinusitis in COVID era- ranging from bacterial rhino sinusitis to invasive fungal sinusitis. Methods Design-A retrospective observational was carried out March 2020 May 2021. Setting-Tertiary care hospital subjects—all COVID-positive patients who had paranasal sinus involvement. Methods-Patients were evaluated based on their symptomatology profile. Fungal stains culture for all. They underwent Magnetic resonance Imaging Computed Tomography scan case-to-case basis, apart routine nasal endoscopy. All managed both medically surgically depending upon diagnosis. The natural course including outcomes, studied, documented analyzed. Results Out 496 presenting with sinonasal disease, 126 COVID-positive, 16 sinusitis, which 4 intraorbital, intracranial or combined complications. successfully medical surgical approach. Twelve mucormycosis overall mortality rate 37%. Conclusion Complicated encountered either when they being actively treated COVID-19 as part post-COVID sequalae. Though rhino-orbito-cerebral constituted major disease burden such but possibility without complications must also be kept mind while evaluating patients. We remember every patient may not mucor manage appropriately.