Sphenoid Sinus Diseases: A Review of 1,442 Patients

Fooanant, Supranee; Angkurawaranon, Salita; Angkurawaranon, Chaisiri; Roongrotwattanasiri, Kannika; Chaiyasate, Saisawat

doi:10.1155/2017/9650910

Cited by 23 publications

(23 citation statements)

References 23 publications

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“…For example, headache was the most common symptom in all studies, including those in adults and children. 1,4 Localization of headaches related to sphenoid sinus disease is quite variable: The vertex, frontal, temporal, periorbital, and occipital regions are common sites. This is explained by sensory innervation of the sphenoid sinus by the fifth cranial nerve and afferent fibers from the sphenopalatine ganglion.…”

Section: Clinical Signs and Symptoms Of Issd In Childrenmentioning

confidence: 99%

Endoscopic Treatment of Isolated Sphenoid Sinus Disease in Children

Wang

et al. 2019

Ear Nose Throat J

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In this article, we explore the disease spectrum and clinical characteristics of and the diagnosis and endoscopic approach to treating isolated sphenoid sinus disease (ISSD) in children. To these ends, we review a case series of 19 patients (mean age: 8.1 ± 4.9 years, range: 1.1-15 years, median age: 6.7 years, 13 males, 6 females) who underwent surgical treatment at our hospital for ISSD during the 4 years between 2012 and 2016. The symptoms of pediatric sphenoid sinus disease tend to be variable and nonspecific and include atypical headache, nasal congestion, epistaxis, postnasal drip, snoring, and impaired vision. Headache is the presenting symptom in 42% of patients, but headaches occurred in no specific or typical location. Ten patients underwent preoperative endoscopic examination, and abnormalities in the sphenoethmoidal recess were found in 6 (60%) of these 10 patients. All 19 patients underwent ultra-low-dose paranasal sinus computed tomography (CT) imaging, and 9 patients with suspected tumors or sphenoid mucoceles were further examined by magnetic resonance imaging (MRI). The endoscopic transostial approach was performed in all 19 patients: 16 patients received excision of inflammatory sphenoid sinus disorders and benign tumors, including sphenoid sinusitis, sphenoid sinus mucocele, sphenoid sinus polyp, and ossifying fibroma; 3 patients with suspected tumors received biopsies to detect rhabdomyosarcoma, Langerhans cell histiocytosis, and juvenile xanthogranuloma. No intraoperative or immediate postoperative complications were observed. Children with opacified sphenoid sinus identified by radiographic imaging presented a variety of pathologies. The most common lesions were associated with inflammatory disease. Because the symptoms of pediatric sphenoid sinus disease tend to be variable and nonspecific, CT remains the standard for evaluating sphenoid sinus disease, and ultra-low-dose paranasal sinus CT imaging is recommended and can provide images of equal or better quality compared with those obtained by standard dose CT. In addition, MRI is an essential adjunct in the diagnosis and selection of treatment for suspected tumors of the sphenoid sinus. The endoscopic transostial approach was especially suitable for the management of pediatric benign isolated sphenoid sinus lesions.

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Section: Clinical Signs and Symptoms Of Issd In Childrenmentioning

confidence: 99%

Endoscopic Treatment of Isolated Sphenoid Sinus Disease in Children

Wang

et al. 2019

Ear Nose Throat J

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“…[8] Magnetic resonance imaging (MRI) is also used to evaluate patients with a suspected intracranial pathology. [9] One meta-analysis on ISSDs indicated causes of sphenoid pathologies as follows: chronic sinusitis without polyps (28.3%), mucocele (20.3%), fungal sinusitis (12.5%), malignant neoplasm (7.7%), intracranial lesions (7.0%), benign neoplasm (5.7%), chronic sinusitis with polyps (3.4%), and other pathologies (4.7%). [2] Various studies on different populations have classified sphenoid pneumatization types under either three or four categories.…”

Section: Citationmentioning

confidence: 99%

Effect of sphenoid sinus volume and pneumatization type on isolated chronic sphenoid sinusitis (fungi and polyps)

Başer¹

2020

tr-ent

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Objectives: In this study, we aimed to investigate the association of sphenoid volume and pneumatization type with pathologies, including unilateral isolated chronic sphenoid sinusitis with polyps (ICSSwP) and isolated fungal chronic sphenoid sinusitis (IFCSS). Patients and Methods: A total of 26 patients (15 males, 11 females; mean age 49.9±15.0 years; range, 18 to 80 years) with unilateral isolated sphenoid inflammation, pathologically diagnosed as IFCSS (n=14) or ICSSwP (n=12) between January 2010 and December 2018 were included in this study. The sphenoid sinus volumes of the pathological and normal sides of the patients were compared. The sphenoid pneumatization types were also evaluated. Results: In the IFCSS group, the pathological side volume was statistically significantly higher than the healthy side volume (p<0.05). In the ICSSwP group, the pathological side volume was statistically significantly lower than the healthy side volume (p<0.05). Conclusion: Large sphenoid sinus volume is prone to IFCSS, while smaller sphenoid sinus volume is prone to ICSSwP. Therefore, it should be considered that difference in the right and left sphenoid sinus volume may have different etiological or predisposing effects for different pathologies.

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“…Because ISSOs can lead to serious complications, such as irreversible neurologic defects, intracranial abscess, or meningitis, prompt and thorough management is recommended 3 , 4 . However, in some ISSOs patients, the early stages are asymptomatic or associated with non-specific symptoms, resulting in a delay of diagnosis.…”

Section: Introductionmentioning

confidence: 99%

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

Ashida

Maeda

Kitamura

et al. 2021

Sci Rep

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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.

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Sphenoid Sinus Diseases: A Review of 1,442 Patients

Cited by 23 publications

References 23 publications

Endoscopic Treatment of Isolated Sphenoid Sinus Disease in Children

Endoscopic Treatment of Isolated Sphenoid Sinus Disease in Children

Effect of sphenoid sinus volume and pneumatization type on isolated chronic sphenoid sinusitis (fungi and polyps)

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

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