Sphenoidotomy – the treatment of patients with isolated sphenoid sinus diseases
Journal Title: Otolaryngologia Polska - Year 2008, Vol 62, Issue 5
Abstract
Introduction. The standart terms and defi nitions for paranasal sinuses operations were published in 2005 by Simmen and Jones. Sphenoidotomy is a surgical procedure when the natural ostium of sphenoid sinus is enlarged in varying degrees. Microscopic, endoscopic or ballon – assisted endoscopic sphenoidotomy are performed in endonasal sinus surgery and endonasal neurosurgery. This approach is considered for cases of isolated lesions of the sphenoid sinus, the sella lesions, the cerebrospinal fluid leaks into the sphenoid sinus and also for the treatment pathological conditions in the skull base. Isolated lesions of the sphenoid sinus are very rare with uncharacteristic symptoms. Headache is the most common. Vision disturbances occur occasionally. Endoscope assisted physical examination and CT scans of paranasal sinuses are necessary to make a diagnose. Material and methods. 5 patients suffering from the isolated sphenoid sinus lesion were diagnosed and treated at the Otolaryngology Department of Medical University of Lodz in 2007. Clinical data of these patients were analysed retrospectively. 4 underwent the transnasal endoscopic sphenoidotomy. There were 3 patients with chronic sinusitis, 1 with pyocele. 1 patient didn`t agree for the operation. Results. All treated patients noted improvement in the preoperative symptoms. There were no complications during and after the operation. Conclusions. Endoscopic sphenoidotomy is an effective and safe method of treatment of the isolated sphenoid sinus diseases. Nasal endoscopy and CT imaging are necessary for a precise diagnosis and treatment decision.
Authors and Affiliations
Zbigniew Kozłowski, Marcin Mazerant, Wojciech Skóra, Katarzyna Dąbrowska
Keywords
Related Articles
- EP ID EP51608
- DOI -
- Views 95
- Downloads 0
XXXIII Zimowy Kongres ARO w Anaheim
-<br/><br/>
Hearing loss in patients with extracranial complications of chronic otitis media
<b>Objective:</b> A pure tone audiomety analysis of patients with extracranial complications of chronic suppurative otitis media (ECCSOM). <br/><b>Material and methods:</b> We retrospectively analyzed audiometric data pe...
Brodawczaki górnych dróg oddechowych – nowe metody leczenia
Background: Respiratory papillomatosis is caused by HPV. The most common location in head and neck is larynx, palatine tonsils and arches of palate, uvula and mucosa oral and nasal cavity. The disease is benign but recur...
Intralaryngeal ectopic thyroid
Lingual thyroid is the most common presentation of ectopic thyroid tissue. In contrast, to that laryngeal location is extremely rare. We report a case of 59 years old woman with a history of progressive dyspnea and nodul...
Contrasting radiological presentation of cervical sympathetic chain schwannoma: Case series of two cases
Splaying of carotid bifurcation on imaging, known as Lyre sign, is seen characteristically in carotid body tumors. Is positive Lyre sign always confi rmatory of carotid body tumor? Here we discuss two cases of cervical s...