Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-09T08:21:48.518Z Has data issue: false hasContentIssue false
  • English
  • Français

Isolated sphenoid sinus changes – history, CT and endoscopic finding

Published online by Cambridge University Press:  29 June 2007

Tuvia Hadar ,
Eitan Yaniv  and
Jacob Shvero
Tuvia Hadar*
Affiliation:
Nose and Sinus Unit, Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eitan Yaniv
Affiliation:
Nose and Sinus Unit, Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Jacob Shvero
Affiliation:
Nose and Sinus Unit, Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
*
Address for correspondence: T. Hadar, M.D., Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva 49 100, Israel. Fax: 972 3 922 0087
Get access Rights & Permissions [Opens in a new window]

Abstract

This study reviews the records of 21 patients with isolated sphenoid sinus disease who were treated by rigid endoscopic sphenoidotomy at the Nose and Sinus Unit, Department of Otolaryngology of Beilinson Medical Center, Israel.

Diagnosis was made on the basis of history, rigid nasal endoscopy and computed tomography (CT) scan. The most frequent symptom was headache; no instances of ‘pathognomonic’ headache were found. Sphenoidotomy was performed through the area of the natural ostium. The pathological finding was infection in 11 patients, cyst in four patients, polyps in three patients, mucocoele in two, and inverted papilloma in one patient.

Surgical results were very good. Endoscopic sphenoidotomy proved to be safe, with minimal blood loss, reduced operating time, decreased morbidity, and short post-operative hospitalization.

Keywords

Sphenoid sinusEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 850 - 853
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ghorayeb, B. Y. (1987). Sphenoidotomy. Head and Neck Surgery 9: 244–249.Google Scholar
Gilain, L., Aidan, D., Coste, A., Peynegre, R. (1994). Functional endoscopic sinus surgery for isolated sphenoid sinus disease. Head and Neck 16: 433–437.CrossRefGoogle ScholarPubMed
Hnatuk, L. A., Macdonald, R. E., Papsin, B. C. (1994). Isolated sphenoid sinusitis: the Toronto Hospital for Sick Children – experience and review of the literature. Journal of Otolaryngology 23: 36–41.Google ScholarPubMed
Kennedy, D. W. (1985). Functional endoscopic sinus surgery: technique. Archives of Otolaryngology 111: 643–649.CrossRefGoogle ScholarPubMed
Kron, T. K., Johnson, C. M. (1983). Diagnosis and management of the opacified sphenoid sinus. Laryngoscope 93: 1319–1923.Google Scholar
Levine, H. (1978). The sphenoid sinus – the neglected sinus. Archives of Otolaryngology 104: 585–587.Google Scholar
Rothfield, R. E., De Vries, E. J., Rueger, R. G. (1991). Isolated sphenoid sinus disease. Head and Neck 13: 208–212.Google Scholar
Stammberger, H. (1986a). Endoscopic endonasal surgery – concepts in treatment of recurring rhinosinusitis. I. Anatomic and pathophysiologic considerations. Archives of Otolaryngology, Head and Neck Surgery 94: 143–146.Google Scholar
Stammberger, H. (1986b). Endoscopic endonasal surgery – concepts in treatment of recurring rhinosinusitis. I. Anatomic and pathophysiologic considerations. Archives of Otolaryngology, Head and Neck Surgery 94: 147–156.CrossRefGoogle ScholarPubMed
Stankiewicz, J. A. (1989). The endoscopic approach to the sphenoid sinus. Laryngoscope 99: 218–221.CrossRefGoogle Scholar
Wigand, M. E. (1981). Transnasal ethmoidectomy under endoscopic control. Rhinology 19: 7–15.Google Scholar
Wyllie, J. W., Kern, E. B., Djalilian, M. (1983). Isolated sphenoid sinus lesions. Laryngoscopeyy 83: 1252–1265.CrossRefGoogle Scholar