Isolated sphenoid sinus disease

Abstract

Forty-three cases of isolated sphenoid sinus disease were reviewed. In 33 cases, headache was a presenting symptom. Seven of 29 cases of inflammatory disease and nine of 13 patients with tumors of the sinus presented with cranial nerve findings. When nonspecific visual disturbances were eliminated, two of 29 cases of inflammation and eight of 13 cases of tumors of the sphenoid sinus had cranial nerve deficits. Ten of 12 CT scans performed on patients with tumors of the sinus demonstrated bony erosion or perisinus extensions. This was not found in any of the 27 scans of patients with inflammatory disease. A thorough cranial nerve examination and a CT scan should be performed early in patients who present with vague and unusual headaches.

Ophthalmoplegia secondary to left sphenoid sinus mucocele

“…The nervus abducens is also frequently affected by SSM due to its medial placement at the cavernous sinus. Although cranial nerve pathologies are usually seen in patients, cranial complications such as cerebrospinal fluid fistula, meningitis and brain abscess may also be seen [2][3][4].…”

“…In general, patients present with symptoms such as headache, feeling of pressure on the face, swelling of the face, toothache, nasal obstruction, proptosis, periorbital pain, disturbance of globe movements, diplopia and visual loss. Especially, since the sphenoid sinus is close neighbor to important anatomical structures such as optic nerve, chiasm, cavernous sinus, dura, pituitary gland, internal carotid artery, cranial nerves III-VI, sphenopalatin artery, and pituitary canal, in the disorders associated with these structures, it should be suspected of SSM [3,4].…”

Papiloma invertido isolado em recesso esfenoetmoidal

“…In theses cases, the disease tends to be more insidious and inespecific, more associated with the vulnerable nerve-vessel bundles associated with this sinus 13 . Many authors believe that if we have the involvement of the sphenoid sinus alone, the most common symptoms are headaches and visual disorders 14,15 . However, the simultaneous involvement of the sphenoethmoidal recess tends to produce a decompressive effect on the noble structures in contact with the sphenoid sinus 8 .…”

Trans-Superior Meatal Approach to the Sphenoid Sinus

“…These lesions mostly consist of inflam matory processes, benign or malignant tumors, and some other rare conditions such as aneurysm of the internal carotid artery and metastatic tumors [1][2][3][4]. The symp toms are related to the structures that surround the sphe noid sinus.…”

“…These include the dura mater, pituitary gland, optic nerve, cavernous sinus, and cranial nerves III, IV, V, and VI. Headache is the most commonly reported symp tom, followed by visual alterations, nasal symptoms, and facial pain [1][2][3], We have recently operated on patients with isolated lesions of the sphenoid sinus using the trans-superior meatal approach that we developed. Numerous variations such as the transethmoidal, transnasal, and transseptal approaches to the sphenoid sinus have been reported with variable success rates [5][6][7], However, most methods are far too destructive, often resulting in a long hospital stay or serious morbidity.…”