Diagnosis and treatment of isolated sphenoid sinus disease: a review of 109 cases

Socher, Jan; Cassano, Michele; Filheiro, Claudeomiro Augustinho; Cassano, Pasquale; Felippu, Alexandre

doi:10.1080/00016480701793735

Cited by 77 publications

(63 citation statements)

References 14 publications

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“…The sphenoid sinus is difficult to inspect and even with endoscopic examination of the nose can appear normal in the presence of significant disease [2,3]. Therefore unless the clinician has a high degree of suspicion for sphenoid pathology, the diagnosis of sphenoid sinusitis can be missed for several months.…”

Section: Introductionmentioning

confidence: 96%

An unusual headache: Sphenoiditis in children and adolescents

McKay-Davies

Buchanan

Prinsley

2011

International Journal of Pediatric Otorhinolaryngology

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Section: Introductionmentioning

confidence: 96%

An unusual headache: Sphenoiditis in children and adolescents

McKay-Davies

Buchanan

Prinsley

2011

International Journal of Pediatric Otorhinolaryngology

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“…The reported recurrence rates ranging from 0% to 10%. [3,9,10,[13][14][15][16] In our series only one patient had a recurrence, one year after operation.…”

Section: Ent Updatesmentioning

confidence: 88%

Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes

Pınar¹,

İmre²,

Ece³

et al. 2015

ENT Updates

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Fungal rhino-sinusitis (FRS) can be broadly divided into two categories based on histopathological findings: invasive and non-invasive, depending on the status of the mucosal layer. The invasive diseases include (1) acute invasive (fulminant) FRS, (2) granulomatous invasive FRS and (3) chronic invasive FRS. The non-invasive diseases include (1) saprophytic fungal infestation, (2) fungal ball, and (3) fungus related eosinophilic FRS that includes allergic fungal rhinosinusitis. Invasive FRS mostly affects immuno-compromised patients, whereas the non-invasive form occurs in immunocompetent patients.[1]Fungal ball is described as the presence of non-invasive accumulation of dense conglomeration of fungal hyphae in one sinus cavity. Various terms, such as mycetoma, aspergilloma, and chronic non-invasive granuloma have been used in the literature. [1,2] Sonuç:Her olguda etkilenmifl sinüs a¤z›n›n cerrahi yolla aç›lmas› ve fungal yo¤unlu¤un ortadan kald›r›lmas› tercih edilen tedavi flekli olmufltur.Anahtar sözcükler: Paranazal mantar topu, misetom, cerrahi. AbstractObjective: The aim of the present study was to analyse the clinical, radiographic, and surgical outcomes of paranasal fungus ball. Methods:A retrospective data analysis was performed on 16 patients who underwent endoscopic sinus surgery for paranasal sinus fungus ball between December 2005 and November 2014. The patient's demographic data, clinical presentations, radiological findings and surgical outcomes were analysed.Results: There were 10 female (62.5%) and six male (37.5%) patients with a mean age of 53.6 (range: 32 to 74) years. Most common symptoms were headache and facial pain. Computed tomography showed a hyper-dense area in 12 patients (75%) and sclerosis in bony walls of the sinus in 13 patients (81.3%). Magnetic resonance imaging revealed a marked low intensity on T2 weighted images in all cases (100%). All patients were treated with functional endoscopic sinus surgery. Only one patient had a recurrence in the postoperative period. Conclusion:The surgical opening of affected sinus ostium and removal of the fungal concentration were the treatment of choice in all cases.

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“…Endoscopy reveals 30% to 60% normal view of important pathologies (2)(3)(4). If the nasal cavity or nasopharynx is affected, as we see for hemangiopericytoma, sphenochoanal polyps, and extramedullary plasmacytoma, flexible nasopharyngoscopy shows the mass, epistaxis, discharge, and mucosal edema.…”

Section: Discussionmentioning

confidence: 99%

“…Isolated sphenoid pathologies, regardless of character and location, present with a nonspecific headache or resemble benign situations such as septum deviation with nasal obstruction symptoms or postnasal drip. While the major part of the patients present with headache, the results of affected neighboring structures, such as diplopia, meningitis, and visual loss, can be the presenting symptoms (1)(2)(3)(4).…”

Section: Discussionmentioning

confidence: 99%

Isolated sphenoid sinus pathologies: a series of 40 cases*

Eravcı¹,

Ceylan²,

Göcek³

et al. 2017

Turk J Med Sci

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IntroductionSphenoid sinus-derived lesions constitute 1% to 2% of paranasal pathologies having nonspecific symptoms (1). The sphenoid sinus is a sealed location at the center of the cranium and close to vital structures. In spite of this, pathologies present with vague symptoms. It is also not easily evaluated by otorhinolaryngology (ORL) examination. For these reasons, and because of the rarity of the pathologies, diagnoses are delayed (2). Generally, a diagnosis is made when there is suspicion from clinical findings and following imaging studies. However, in recent years, detection is more frequent because of the increased use of radiological imaging.The sphenoid is an area surrounded by important structures: superiorly the pituitary gland, middle cranial fossa, and optic nerve are located; the cavernous sinus is positioned laterally, which involves the carotid artery, and within it cranial nerves 3, 4, and 6 and two branches of 5. Anteriorly the pterygoid canal and nasopharynx are seen, and posteriorly the cranial fossa (3,4).With isolated sphenoid pathologies, the most common symptom is headache, followed by nasal obstruction, postnasal drip, visual problems, cranial nerve deficits, and recurrent meningitis (1-4). In contrast to other sphenoid pathologies, cerebrospinal fluid (CSF) leak patients almost always present with unilateral serous rhinorrhea and rarely with recurrent meningitis attack. The sphenoid sinus, along with the ethmoid roof, is also the most common location for spontaneous CSF leak (5).In this paper, we have analyzed patients who underwent isolated sphenoid surgery in our department with the aim of earlier diagnosis, successful treatment, and avoiding revisions and complications. Materials and methodsData on 40 patients who underwent isolated sphenoid surgery in the Gazi University ORL Department from January 2005 to August 2015 were extracted from the surgical archive charts. The medical records, including clinical and surgical data and imaging findings, were Background/aim: Isolated sphenoid sinus-derived lesions are rare and generally present with unclear symptoms. We are sharing our experience to be mindful of such lesions in differential diagnosis and to help accomplish successful treatment while avoiding revisions and complications.Materials and methods: Data from patients who underwent isolated sphenoid sinus surgeries (ISSs) were retrospectively extracted from the period of January 2005 to August 2015. Demographic data, chief complaints and presenting symptoms, imaging findings, surgical management, and results were evaluated.Results: There were 40 patients who underwent ISS. These patients had different pathologies. The chief complaint was nonspecific headache, except for cerebrospinal fluid leak patients who presented with serous rhinorrhea. Conclusion:It is critical to investigate suspicious symptoms with clinical findings and imaging techniques to avoid late diagnoses of isolated sphenoid pathologies. The transnasal approach is more minimally invasive and tissue-sparing. In our e...

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Diagnosis and treatment of isolated sphenoid sinus disease: a review of 109 cases

Cited by 77 publications

References 14 publications

An unusual headache: Sphenoiditis in children and adolescents

An unusual headache: Sphenoiditis in children and adolescents

Paranasal sinus fungus ball: analysis of clinical characteristics and surgical outcomes

Isolated sphenoid sinus pathologies: a series of 40 cases*

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