Rhinosporidiosis Treatment & Management

Updated: Feb 15, 2023
  • Author: Duane R Hospenthal, MD, PhD, FACP, FIDSA, FASTMH; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Medical Care

Rhinosporidiosis is treated with surgical excision because, generally, medical treatment has not been proven effective. However, multiple reports of successful treatment of individuals with prolonged courses of oral dapsone have been published, [35, 36]  as well as used adjunctively after surgical removal. [37]  This drug may be useful in individuals with multisite rhinosporidiosis.


Surgical Care

Local surgical excision is the treatment of choice for rhinosporidiosis. Recurrence has been reported with simple excision. Wide excision with electrocoagulation of the lesional base has been promoted to decrease recurrences. Use of laser-assisted endoscopic excision, in combination with oral dapsone also has been described. [37]



Rhinosporidiosis is often complicated by high recurrence rates. Recurrence has been associated with multisite involvement, involvement of the nasal septum, middle turbinate, nasopharynx or posterior pharynx, duration greater than 1 year, and previous surgery. [38]