Endoscopic surgical treatment of patients with isolated sphenoid sinus disease
Journal Title: Otolaryngologia Polska - Year 2007, Vol 61, Issue 3
Abstract
Introduction. Cases of isolated lesions of the sphenoid sinus are rare. For descriptive purposes, clinicians divide them into inflammatory and non-inflammatory with prevalence of the former. Symptoms of the sphenoid sinus disease are difficult to characterise, the most common of them being vague headache and visual disturbances. Thorough preoperative evaluation of the lesion is essential – nasal endoscopy must be performed and computerised tomography or magnetic resonance imaging results analysed. The purpose of the study is to present the assessment of endoscopic surgery outcome in the own group of patients with isolated sphenoid disease. Material and methods. Clinical data of 22 subjects were analysed retrospectively. There were 5 patients with bacterial sinusitis, 6 with fungal sinusitis, 4 with allergic thickening of the mucous membrane with no evidence of bacterial or fungal infection, 2 with mucocele, 1 with sphenoid osteoma, 1 with inverted papilloma, 1 with a foreign body and 2 with cerebral fluid fistula. Each patient had preoperative nasal endoscopy and CT/MRI imaging performed. Then they underwent endoscopic transnasal sphenoethmoidectomy with removal of the lesion or closure of the fistula. The sphenoid sinus was approached through its front wall. Results. The patients’ postoperative course was uneventful. They noted improvement in all preoperative symptoms, except for bilateral oculomotor nerve paralysis in one individual, and were asymptomatic to ophthalmological examination. Conclusions. Isolated lesions of the sphenoid sinus, even very rare tumours like those presented here, can be in most cases safely approached and removed endoscopically. All risks of the method must be considered prior to the operation. High frequency of fungal sinusitis should be noted.<br/><br/>
Authors and Affiliations
Paweł Strąk, Olaf Zagólski, Jacek Składzień, Krzysztof Oleś, Marcin Konior, Karolina Hydzik-Sobocińska, Roman Głowacki
Keywords
Related Articles
- EP ID EP346078
- DOI -
- Views 96
- Downloads 0
Tłuszczak przestrzeni zagardłowej jako przyczyna duszności
SUMMARY Lipomas are benign tumors built of mature fatty tissue. Most likely they can occur in subcutaneus space all over the human body, but also in internal or-ganu. In this paper we present the case of a man with retro...
Endoscopic dacryocystorhinostomy in patients with postsaccal stenosis of lacrimal duet
Dynamic development of the endoscopic treatment of the lacrimal duct obstruction has been observed for the last 20 years. Various causes of the tear outflow disorders, different levels of lacrlmal duct blockage may requi...
High-affinity IgE receptor gene polymorphism and allergic rhinitis in a Polish population
Introduction: The high-affinity IgE receptor (FceRIb subunit int 2) gene polymorphism is a candidate gene in atopic diseases and is associated with atopy. The aim of this biochemical study was to investigate the associat...
The importance of postoperative care after functional endoscopic sinus surgery
Introduction. In this work we wish to emphasize the importance of postoperative care of patients who underwent FESS in ENT Department Medical University in Poznań. We feel that too little attention is still being paid to...
Sprawozdanie z 46 Kongresu Południowo - Afrykańskiego Towarzystwa Otorynolaryngologii Chirurgii Głowy i Szyi oraz Południowo-Afrykańskiego Stowarzyszenia Audiologów i Południowo Afrykańskiego -Towarzystwa Onkologii Głowy i Szyi
W dniach od 24 do 27 października 2010 r. odbył się 46. Kongres Południowo-Afrykańskiego Towarzystwa Otorynolaryngologii Chirurgii Głowy i Szyi (South Afri-can Society of Otorhinolaryngology Head Neck Surgery) we współpr...