Results of transnasal transostial sphenoidotomy in 79 cases of chronic sphenoid sinusitis

Massoubre, J.; Saroul, N.; Vokwely, J.-E. Evehe; Liétin, B.; Mom, T.; Gilain, L.

doi:10.1016/j.anorl.2016.02.002

Cited by 12 publications

(10 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With regards the sinuses, microbiota studies are generally more limited in terms of sample size, but typically report recovery of these bacterial taxa in less than 5% healthy individuals [ 7 , 9 ]. Rather, these bacteria are typically associated with infradiaphragmatic sources and have been implicated as potential pathogens in rhinosinusitis following their isolation in symptomatic individuals [ 10 – 12 ]. The clinical significance of Leuconostoc carriage by PA patients is unclear and, to the authors knowledge, has not been described in the context of this body site.…”

Section: Discussionmentioning

confidence: 99%

Sphenoid sinus microbiota in pituitary apoplexy: a preliminary study

et al. 2017

View full text Add to dashboard Cite

PurposeThere is a high incidence of abnormal sphenoid sinus changes in patients with pituitary apoplexy (PA). Their pathophysiology is currently unexplored and may reflect an inflammatory or infective process. In this preliminary study, we characterised the microbiota of sphenoid sinus mucosa in patients with PA and compared findings to a control group of surgically treated non-functioning pituitary adenomas (NFPAs).MethodsIn this prospective observational study of patients undergoing trans-sphenoidal surgery for PA or NFPA, sphenoid sinus mucosal specimens were microbiologically profiled through PCR-cloning of the 16S rRNA gene.ResultsTen patients (five with PA and five with NFPAs) with a mean age of 51 years (range 23–71) were included. Differences in the sphenoid sinus microbiota of the PA and NFPA groups were observed. Four PA patients harboured Enterobacteriaceae (Enterobacter spp., N = 3; Escherichia coli, N = 1). In contrast, patients with NFPAs had a sinus microbiota more representative of health, including Staphylococcus epidermidis (N = 2) or Corynebacterium spp. (N = 2).ConclusionsPA may be associated with an abnormal sphenoid sinus microbiota that is similar to that seen in patients with sphenoid sinusitis.

show abstract

Section: Discussionmentioning

confidence: 99%

Sphenoid sinus microbiota in pituitary apoplexy: a preliminary study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In ISSOs, the most common diagnosis is inflammation, including rhinosinusitis (bacterial infection), mucocele, and fungal disease. In previous research, the frequency of inflammation was reported as 38–65% 1 , 2 , 8 , 9 . In this study, the total percentage of cases with inflammation, mucocele, and fungal disease was 81%.…”

Section: Discussionmentioning

confidence: 94%

Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation

Ashida

Maeda

Kitamura

et al. 2021

Sci Rep

View full text Add to dashboard Cite

Isolated sphenoid sinus opacifications (ISSOs) are clinically important because they can lead to serious complications. However, some patients with ISSOs are asymptomatic, and not all patients are properly referred to the otolaryngology department. Because past studies of ISSOs focused only on patients who received treatment, in this study we selected ISSO cases based on radiology reports, then determined whether these patients had symptoms and were appropriately referred for specialty care. We conducted a retrospective analysis of data collected from patients who underwent computed tomography or magnetic resonance imaging from January 2007 to March 2017 at Osaka General Medical Center. We searched for the terms “sphenoid” or “sphenoidal” using F-REPORT to identify patients who had a sphenoid disease. We checked all selected images and diagnosed ISSOs. Examination of 1115 cases revealed 223 cases of ISSOs, of whom 167 (74.9%) were asymptomatic. We categorized patients with ISSOs into four groups: inflammation, mucocele, fungal diseases, and unclassifiable; the final category was used when edges were irregular or complete opacity was encountered. In the unclassifiable group, the majority of cases required otolaryngology consultation, but 37 of 47 unclassifiable patients did not have an otolaryngology visit. ISSOs are often identified by chance on imaging tests performed by non-otolaryngologists. However, our study revealed that many patients with ISSOs who should be treated by otolaryngologists were not referred to the otolaryngology department. Accordingly, it is important to promote awareness of the disease among other types of clinicians.

show abstract

“…Likewise, there was no growth of bacteria in the case of sphenoid sinusitis complicated with sixth nerve palsy [ 12 ]. Massoubre et al [ 13 ] analysed the bacterial flora of 79 patients with isolated chronic sphenoid sinusitis operated on via transnasal approach. Nonspecific inflammation without growth of pathological flora was found in 47 (59.5%) patients.…”

Section: Discussionmentioning

confidence: 99%

Bacteriological analysis of isolated chronic sinusitis without polyps

Stryjewska-Makuch¹,

Janik

Lisowska

et al. 2018

pdia

View full text Add to dashboard Cite

IntroductionChronic sinusitis (CRS) is phenotypically divided into inflammation with polyps (CRSwNP) or without polyps (CRSsNP).AimTo try to explain the reasons for isolated sinusitis by analysing medical history as well as anatomical and bacteriological data.Material and methodsIn 2016, endoscopic surgery was performed in 103 patients with CRSsNP within 6 months. The authors evaluated 28 patients with lesions in one sinus.ResultsThe patients did not report any previous facial trauma, dental procedures, there were no odontogenic causes of the disease. They had not been treated with antibiotics within 30 days prior to admission to hospital. Ninety-seven bacterial strains were grown, of which 32 in patients with isolated nasal sinusitis. Statistical analysis has shown that there is a trend toward a statistically significant (p = 0.0868) relationship between the presence of Staphylococcus aureus and the type of inflammation.ConclusionsThere is an indication that the presence of Staphylococcus aureus is associated with isolated sinusitis, especially in women.

show abstract

Results of transnasal transostial sphenoidotomy in 79 cases of chronic sphenoid sinusitis

Cited by 12 publications

References 31 publications

Sphenoid sinus microbiota in pituitary apoplexy: a preliminary study

Sphenoid sinus microbiota in pituitary apoplexy: a preliminary study

Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation

Bacteriological analysis of isolated chronic sinusitis without polyps

Contact Info

Product

Resources

About