ObjectiveTo evaluate the effect of endoscopic sinus surgery combined with postoperative nasal irrigation on the symptoms improvement and prognosis for patients with allergic fungal rhinosinusitis (AFRS).MethodsClinical data of 54 patients with AFRS endoscopically treated in our hospital were analyzed retrospectively.ResultsAll patients had been followed up for 6 months to 6 years after operation. Among them, 51 cases were cured and 3 got relapsed. All the 3 relapsed cases received reoperation combined with comprehensive treatment and no recurrence occurred after following up for 2 to 5 years.ConclusionsSurgical treatment is the most effective therapy of AFRS. Glucocorticoid should be used to reduce postoperative recurrence. Comprehensive treatment and regular postoperative followup are the key points for success.