Allergic Fungal Sinusitis Rhinologist TX - Fungal Sinusitis Treatment
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Allergic fungal sinusitis is a very specific type of sinus infection. It usually only involves the right or left side of the sinuses and can initially present as early as the teenage years. It is usually characterized by one-sided facial pressure, thick yellow/brown nasal drainage, and intermittent discharge of green or brown “cork-like” fragments from the nose. It is a particularly challenging type of sinus infection to treat and manage. That’s why you need a sinus specialist at Houston Advanced Nose & Sinus. Dr. Kuperan is one of the few fellowship certified Rhinologists in all of Texas with specialized expertise, experience, and skills in treating patients with allergic fungal sinusitis.



Allergic fungal sinusitis is a specific subtype of a sinus infection. Most patients with this condition also have significant associated allergies to mold and other allergens which are a driving force behind the sinusitis. The chronic exposure to environmental allergens fuels the inflammation that causes the chronic sinus infection to persist often with severe exacerbations and “flare-ups.” It is called allergic fungal sinusitis because there are often actual fungal fragments that grow inside the sinus cavities as a result of the chronic inflammation from allergies. If the allergic fungal sinusitis becomes severe enough a person might experience uncomfortable symptoms such as:

  • Difficulty breathing or nasal congestion on one side of the nose
  • Facial pain or pressure on only one side of the face
  • Thick yellow/brown nasal drainage

  • Intermittent nasal discharge of green/brown “cork-like” fragments
  • More frequent asthma exacerbations with wheezing or chest tightness
  • Coughing


If the symptoms of allergic fungal sinusitis are present it is always essential to consult a Rhinologist for an accurate diagnosis and treatment plan. In some cases, oral steroids and oral antibiotics may be needed to treat the problem. A CT scan (x-ray) of your sinuses and nasal endoscopy (looking inside the nose with a small camera) is essential to better assess the problem. A CT scan will show a very characteristic appearance to the sinus infection that helps make the diagnosis. Some patients with allergic fungal sinusitis also have nasal polyps. Oral steroids and antibiotics only provide temporary improvement in the infection. Most patients with allergic fungal sinusitis require endoscopic sinus surgery in conjunction with allergy testing and possible allergy shots. The quality of the endoscopic sinus surgery is critical to ensure long term control of this particularly challenging sinus infection. Wide sinus openings must be created to remove all the fungal fragments and provide accessibility for long-term therapy with nasal steroid rinses to keep the inflammation controlled. We frequently use the revolutionary technology of Propel steroid releasing implants that produce steroid locally inside the nose to prevent recurrence of fungal growth and polyps. The key is choosing an approach tailored to the severity of your allergic fungal sinusitis. There is not one single solution that is correct for every patient, and that’s why Houston Advanced Nose & Sinus is unique. We don’t promote a “cookie-cutter” approach to treatment like some other practices. Dr. Kuperan’s super specialized expertise and experience as a Rhinologist will make sure you get the best treatment so you can quickly get your life back on track.