
Topic
Invasive Fungal Sinusitis (IFS)
Podcasts
ENT & Allergy # 300Oct 27, 2026Surgical Management of Pediatric Invasive Fungal Sinusitis

What once meant a 3:00 AM trip to the operating room is now a planned daytime case: with antifungal pretreatment and a standardized protocol, one pediatric team in Memphis estimates survival of about 94 percent over 15 years for children with cancer and invasive fungal sinusitis (IFS), compared with published mortality estimates ranging from 20 to 80 percent. On this episode of the BackTable Creator Weekend™ series on pediatric head and neck cancer, host Dr. Javan Nation welcomes Dr. Rob Tuliszewski and Dr. Anthony Sheyn, pediatric otolaryngologists at Le Bonheur Children's Hospital and St. Jude Children's Research Hospital, to walk through the surgical management of invasive fungal sinusitis in children with cancer. They discuss pretransplant ENT screening, the inpatient consult, what early disease looks like on endoscopy, how antifungal pretreatment changes the urgency of surgery, and how they approach debridement in the operating room.
ENT & Allergy # 299Oct 20, 2026Multidisciplinary Management of Pediatric Invasive Fungal Sinusitis

When a child with cancer develops invasive fungal sinusitis, how do you balance urgent surgery, antifungal therapy, and the wait for neutrophil recovery? On this episode of the BackTable Creator Weekend™ series on pediatric head and neck cancer, host Dr. Rob Tuliszewski welcomes Dr. Dennis Kuo, a pediatric hematologist-oncologist, and Dr. Leidy Tovar Padua, a pediatric infectious diseases specialist, both at Rady Children's Hospital-San Diego and UC San Diego, to walk through pediatric invasive fungal sinusitis from first suspicion to recovery. They discuss who is at highest risk, the fever and neutropenia workup, imaging and plasma next-generation sequencing, how urgently to call ENT, and antifungal prophylaxis.