Evaluation and treatment of isolated sphenoid sinus diseases

Tang, Ing Ping; Brand, Yves; Prepageran, Narayanan

doi:10.1097/moo.0000000000000218

Cited by 10 publications

(13 citation statements)

References 25 publications

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“…6 Several endoscopic endonasal approaches have been described: the transseptal sphenoidotomy, the transethmoidal sphenoid approach and the transpterygoid approach. [11][12][13] Transseptal sphenoidotomy did not provide an adequate visualization of the SSLR. The transethmoidal sphenoid approach permitted removal of the pterygoid process medial to the Vidian canal but was not wide enough to repair the CSF rhinorrhea in the SSLR.…”

Section: Discussionmentioning

confidence: 92%

Management of Cerebrospinal Fluid Rhinorrhea in the Sphenoid Sinus Lateral Recess Through an Endoscopic Endonasal Transpterygoid Approach With Obliteration of the Lateral Recess

Zhen

2020

Ear Nose Throat J

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Background: Cerebrospinal fluid rhinorrhea in the sphenoid sinus lateral recess is a rare occurrence and poses unique challenges due to limited surgical access for surgical repair. Objective: To report our experience of surgical repair of cerebrospinal fluid rhinorrhea in the sphenoid sinus lateral recess through an endoscopic endonasal transpterygoid approach with obliteration of the lateral recess. To evaluate the efficiency of this surgical procedure. Methods: A retrospective study. Twelve cases with cerebrospinal fluid rhinorrhea in the sphenoid sinus lateral recess were reviewed. Assisted by image-guided navigation, cerebrospinal fluid rhinorrhea was repaired through an endoscopic endonasal transpterygoid approach, with obliteration of the lateral recess. Complications and recurrence were recorded. Medical photographs were used. Results: This surgical approach provided a relatively spacious corridor to dissect the sphenoid sinus lateral recess and do postoperative surveillance. The repair area completely healed in 3 months after surgery. Cerebrospinal fluid rhinorrhea in the sphenoid sinus lateral recess was successfully repaired on the first attempt in all cases (100%). No main complications or recurrence was observed during a mean follow-up time of 40.3 months. Conclusion: The endoscopic endonasal transpterygoid approach gives appropriate access for the treatment of spontaneous cerebrospinal fluid rhinorrhea in the sphenoid sinus lateral recess. Multilayer reconstruction of a skull base defect with obliteration of the lateral recess is a reliable and simple method.

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Section: Discussionmentioning

confidence: 92%

Management of Cerebrospinal Fluid Rhinorrhea in the Sphenoid Sinus Lateral Recess Through an Endoscopic Endonasal Transpterygoid Approach With Obliteration of the Lateral Recess

Zhen

2020

Ear Nose Throat J

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“…1,5 High index of suspicion among otolaryngologists and neurologists dealing with such patients is essential to make an early diagnosis. 10,14 Computed tomography is the investigation of choice in patients who are suspected of having ISSD. 10,15 It has been reported that nearly 22% of ISSD are detected incidentally on computed tomography.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, previous studies have implicated surgical intervention in 80-100% of ISSD. 1,3,6,[8][9][10][11][12]14 On the other hand, a selected few uncomplicated case of acute or chronic sphenoiditis can be successfully managed by conservative management with antibiotics and antihistamines. 4,10,13,18 Like in our surgical cohort, the procedure of choice for surgery in all these published reports of ISSD is endoscopic sphenoidotomy and disease clearance.…”

Section: Discussionmentioning

confidence: 99%

“…4,10,13,18 Like in our surgical cohort, the procedure of choice for surgery in all these published reports of ISSD is endoscopic sphenoidotomy and disease clearance. 1,3,6,[8][9][10][11][12]14 Endoscopic surgery suffices even in complicated cases, although the prognosis with respect to functional recovery of neurological deficit may be variable. 1,6,11,18,19 The common symptoms of ISSD like headache and diplopia (due to cranial nerve III, IV and VI) are more likely to improve after endoscopic sphenoidotomy compared to the unpredictable recovery of the visual disturbances.…”

Section: Discussionmentioning

confidence: 99%

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Isolated sphenoid sinus disease; a retrospective review of underlying pathologies and their clinicopathological implications

Ravindra

Shetty

Devaraja

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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Background: Isolated sphenoid sinus disease (ISSD) includes a small cohort of patients evaluated for sinus disease which tend to be diagnostically challenging and may lead to devastating complications. This study aims to evaluate the spectrum of etiological factors and to analyze clinic-radiological characteristics of ISSD Methods: It is a retrospective review of cases of ISSD managed by the department of otolaryngology of a tertiary care medical centre between January 2017 and December 2019. A total of 21 patients were included and their demographic details, co-morbidities, symptomatology, cross-sectional imaging, treatment received and follow-up details were retrieved from medical records for analysis and comparison.Results: The most common diagnoses in our cohort were invasive fungal sinusitis (n=9), chronic non-specific sinusitis (n=7) and allergic fungal sinusitis (n=3) in that order, with mean duration of symptoms 58.2 days, 300 days and 260 days respectively. Cases of invasive disease had a shorter course, more frequent cranial nerve involvement, with radiological features of heterogenous soft tissue densities and bone erosion. Cases of chronic non-specific sinusitis and allergic fungal sinusitis had more long-standing disease with a milder course and less ominous radiological features. Biopsy report from one of the patient’s was that of squamous cell carcinoma while the other patient was diagnosed with a sphenoid mucocoele.Conclusions: ISSD is an uncommon entity in clinical practice with non-specific symptoms and a potential for grave complications. Therefore, the condition must be borne in mind by clinicians and prompt treatment must be initiated.

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“…The questionnaire comprised four scales adapted from previous research. We used three seven-point semantic differential scale items adapted from Lafferty and Goldsmith ( 2005 ) to measure attitude. We assessed CSR associations with a four-item Likert scale adapted from Dean ( 2002 ).…”

Section: Methodsmentioning

confidence: 99%

I Will Do It If I Enjoy It! The Moderating Effect of Seeking Sensory Pleasure When Exposed to Participatory CSR Campaigns

2016

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In an attempt to gain differentiation, companies are allocating resources to corporate social responsibility (CSR) initiatives. At the same time, they are giving consumers a more active role in the process of creating value. In this sense, consumer participation represents a new approach to gain competitive advantage. However, the effectiveness of consumer participation in CSR campaigns still remains unknown. With the purpose of shedding light on this issue, this paper shows that participatory CSR campaigns lead to greater consumer perceptions of CSR, which in turn results in more favorable attitudes toward the company. Furthermore, the effect is stronger for sensory pleasure seekers, whose involvement with the experience is greater. The findings contribute to the CSR literature and reveal important implications for marketers.

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Evaluation and treatment of isolated sphenoid sinus diseases

Cited by 10 publications

References 25 publications

Management of Cerebrospinal Fluid Rhinorrhea in the Sphenoid Sinus Lateral Recess Through an Endoscopic Endonasal Transpterygoid Approach With Obliteration of the Lateral Recess

Management of Cerebrospinal Fluid Rhinorrhea in the Sphenoid Sinus Lateral Recess Through an Endoscopic Endonasal Transpterygoid Approach With Obliteration of the Lateral Recess

Isolated sphenoid sinus disease; a retrospective review of underlying pathologies and their clinicopathological implications

I Will Do It If I Enjoy It! The Moderating Effect of Seeking Sensory Pleasure When Exposed to Participatory CSR Campaigns

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