Epidemiological Characteristics, Pathogenesis and Clinical Implications of Sinusitis in the Era of COVID-19: A Narrative Review

Abstract

Abdullah N Al‐Rasheedi,1 Abdullah D Alotaibi,2 Afrah Alshalan,1 Khalid Muteb Alshalan,3 Khalid Muharib R Alruwaili,3 Abdulelah Hamdan R Alruwaili,3 Abdulaziz Talal Alruwaili,3 Abdualaziz Abdulhamid Alanazi,3 Mohammed Khalid Alshalan,3 Abdullah Fahid ALtimani3 1Department of Otolaryngology, Head & Neck Surgery, College of Medicine, Jouf University, Sakaka, Aljouf, Saudi Arabia; 2Department of Otolaryngology, Head & Neck Surgery, College of Medicine, University of Hail, Hail, Saudi Arabia; 3College of Medicine, Jouf University, Sakaka, Aljouf, Saudi ArabiaCorrespondence: Abdullah N Al‐Rasheedi, Saudi Board (Otolaryngology-Head & Neck Surgery), College of Medicine, Jouf University, Sakaka, Aljouf, 72388, Saudi Arabia, Tel [phone], Email [email protected]: Sinusitis is a common condition with various forms and different etiologies. In the era of COVID-19, a large number of studies covered the association between sinusitis and COVID-19, while others reported the impact of COVID-19 on the development of acute invasive fungal rhinosinusitis (AIFR), together with the most commonly associated predisposing factors. Fungal sinusitis, particularly AIFR, can be life-threatening. It is important to dissect this association and improve current evidence and management. Therefore, we conducted this literature review to highlight the association between COVID-19 and sinusitis based on evidence from the available studies in the literature. Evidence shows that chronic sinusitis might have a negative impact on COVID-19 outcomes. However, current results are conflicting, and further studies are needed. On the other hand, COVID-19 can also cause olfactory dysfunction, which is usually temporary. In addition, we found several studies that indicated the association between COVID-19 and AIFR. The condition is usually associated with severe morbidities, as affected patients are usually immunocompromised, including those with uncontrolled diabetes, malignancy, immunosuppression, AIDS, the administration of chemotherapy and other immunosuppressive drugs, and COVID-19.Keywords: COVID-19, severe acute respiratory syndrome coronavirus-2, sinusitis, fungal rhinosinusitis, pathogenesis

Keywords

• covid-19
• severe acute respiratory syndrome coronavirus-2
• sinusitis
• and fungal rhinosinusitis
• pathogenesis