Isolated Sphenoid Sinus Disease: Etiology and Management

Friedman, Aaron D.; Batra, Pete S.; Fakhri, Samer; Citardi, Martin J.; Lanza, Donald C.

doi:10.1016/j.otohns.2005.04.023

Cited by 109 publications

(99 citation statements)

References 18 publications

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“…A wide variety of other organisms can cause sphenoid sinusitis. In the study by Friedman, (4) twenty-five of the 29 patients with inflammatory sphenoid sinus lesions had positive cultures, 68% of the cultures were positive for bacteria with methicillin-resistant Staphylococcus aureus being the most common pathogen, followed by Pseudomonas aeruginosa. 32% of the cultures grew fungal organisms, with Aspergillus species being the most common.…”

Section: Discussionmentioning

confidence: 99%

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Isolated sphenoid sinus lesion: A diagnostic dilemma

Alazzawi¹,

Ibrahim²,

Ibrahim³

et al. 2014

Qatar Medical Journal

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Isolated sphenoid sinus lesions are an uncommon entity and present with non-specific symptoms. In this case report, the patient presented with a history of headaches for a duration of one month without sinonasal symptoms. A computed tomography scan showed a soft tissue mass occupying the sphenoid sinus. An endoscopic biopsy revealed fungal infection. Endoscopic wide sphenoidotomy with excision of the sphenoid sinus lesion was then performed however, the microbiological examination post-surgery did not show any fungal elements. Instead, Citrobacter species was implicated to be the cause of infection.

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Section: Discussionmentioning

confidence: 99%

“…(2,4) Friedman et al (4) reviewed 50 patients with isolated sphenoid sinus lesions and 72% of the cases were due to inflammatory causes which included: chronic sinusitis 34%, fungal ball 20%, mucocele12%, acute sinusitis 4%, and chronic invasive fungal sinusitis 2%. Neoplasms were seen in 16% of patients (benign 10%, malignant 6%).…”

Section: Discussionmentioning

confidence: 99%

Isolated sphenoid sinus lesion: A diagnostic dilemma

Alazzawi¹,

Ibrahim²,

Ibrahim³

et al. 2014

Qatar Medical Journal

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“…The proposed theories for its development include cystic dilatation of glandular structures and cystic dilata- tion of embryonic epithelial remains. 7 Previous craniocerebral traumas and infl ammations (polypoid sinusitis) are considered to be the most likely reasons for the occurrence of mucocele. 8 Similar to the case of T. Adouly et al, a single risk factor for the occurrence of the disease was not found in our patient.…”

Section: Discussionmentioning

confidence: 99%

Mucocele of the Sphenoid Sinus

Djambazov¹,

Kitov²,

Zhelyazkov³

et al. 2017

Folia Medica

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Mucocele of the paranasal sinuses is a rare disease with slow evolution. It is a benign, encapsulated and destructive formation fi lled with mucous fl uid and tapistrated with respiratory epithelium. Of all the paranasal sinuses, the sphenoid sinus is aff ected in only 1-7% of the cases. We present two cases of mucocele of the sphenoid sinus involving the posterior ethmoidal cells. We consider here their clinical presentation, use of neuroimaging in the diagnosis, surgical care and postoperative results. Both patients presented with a history of persistent headache and in addition, one of them had a paresis of the right oculomotor and abducens nerves. A transnasal endoscopic sphenoidectomy was performed in both patients, in one -with an evacuation of the mucocele and marsupialization, and in the other -with a balloon dilatation of the natural foramen of the sinus. Postoperatively, a complete reversal of the symptoms was observed in both patients. Mucocele of the paranasal sinuses should be considered as a diagnosis in cases of persistent headache with a primarily retrobulbar location and eye symptoms. Computed tomography and magnetic resonance imaging can be used to successfully diagnose the disease. The transnasal endoscopic sphenoidectomy is the therapeutic method of choice which allows evacuation of the mucocele, while the marsupialization allows good drainage and prevents recurrence.

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“…8 Embryologically, AMV is the result of incomplete seperation of the mitral valve tissue from the endocardial cushion. 1,9,10 Two types of accessory valve tissue were defined by Faggian et al in 1983. 7 The mobile type is a parachute-like leaflet floating in the ventricular outflow tract.…”

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confidence: 99%

“…Nas situações inflamatórias, a esfenoidotomia por via endoscópica transnasal usando o corneto superior como referência é uma técnica considerada eficaz e segura. [9][10][11] Em casos específicos poderá realizar-se uma recessão parcial do corneto médio para melhor visualização. A abordagem transetmoidal poderá ser considerada em fossas nasais pouco amplas ou nos casos de patologia concomitante de outros seios perinasais.…”

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Parésia do Nervo Motor Ocular Comum em Contexto de Sinusite Esfenoidal

et al. 2014

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Sphenoid sinus disease is particular not only for its clinical presentation, as well as their complications. Although rare, these may present as cranial nerve deficits, so it is important to have a high index of suspicion and be familiar with its diagnosis and management. Symptoms are often nonspecific, but the most common are headache, changes in visual acuity and diplopia due to dysfunction of one or more ocular motor nerves. The authors report a case of a 59 years-old male, who was referred to the ENT emergency department with frontal headaches for one week which had progressively worsened and were associated, since the last 12 hours, with diplopia caused by left third cranial nerve palsy. Neurologic examination was normal aside from the left third cranial nerve palsy. Anterior and posterior rhinoscopy excluded the presence of nasal masses and purulent rhinorrhea. The CT scan revealed a soft tissue component and erosion of the roof of the left sphenoid sinus. Patient was admitted for intravenous antibiotics and steroids treatment without any benefit after 48 hours. He was submitted to endoscopic sinus surgery with resolution of the symptoms 10 days after surgery. The authors present this case for its rarity focusing on the importance of differential diagnosis in patients with headaches and cranial nerves palsies.<br /><strong>Keywords:</strong> Sphenoid Sinusitis; Oculomotor Nerve Diseases.

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Isolated Sphenoid Sinus Disease: Etiology and Management

Cited by 109 publications

References 18 publications

Isolated sphenoid sinus lesion: A diagnostic dilemma

Isolated sphenoid sinus lesion: A diagnostic dilemma

Mucocele of the Sphenoid Sinus

Parésia do Nervo Motor Ocular Comum em Contexto de Sinusite Esfenoidal

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