Close follow-up is important. Long-term use of topical steroids controls relapses. Short-term systemic steroids may be required when relapses occur. This condition has an excellent prognosis once the fungus ball is removed and adequate aeration of the sinus is restored. This condition carries a poor prognosis.
Relapses are common during subsequent episodes of neutropenia.
Treatment with systemic antifungals as prophylaxis is indicated in cases of neutropenia. Chronic invasive fungal sinusitis Good prognosis has been noted in patients who received a prolonged course of systemic antifungals. Patients who received shorter courses of systemic antifungals had more relapses, thereby requiring further treatment. Chronic granulomatous fungal sinusitis Experience with this condition is limited. Generally, prognosis is good, but a tendency toward recurrence exists.