Sphenochoanal polyp: a case report

Sandhu, Kulwinder Singh; Shiffali,; Singh, Jagdeepak

doi:10.18203/issn.2454-5929.ijohns20174349

Cited by 2 publications

(5 citation statements)

References 6 publications

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“…3,6 Some researchers also suggest early exploration when CSF rhinorrhea is encountered in the presence of trauma. 25,26 The outcome of this study is closely similar to the reports of some earlier researchers. The variations in the treatments used to arrest the CSF leak might be due to the type, severity of the injuries or the size of the skull base defects which suggest that as the injuries or defects become more severe, the protocol tends toward surgical intervention.…”

Section: Discussionsupporting

confidence: 89%

“…Though, the period of follow-up in this study may be regarded as short as complication has been reported decades after the initial traumatic craniofacial injury. 26 In addition, the presence of craniocerebral injuries sometimes leads to delays in treatment of maxillofacial fractures and may actually increase the risk of complication. 25,26 Clinical evidence shows that the longer a CSF leak persists, the greater the risk of meningitis.…”

Section: Discussionmentioning

confidence: 99%

“…26 In addition, the presence of craniocerebral injuries sometimes leads to delays in treatment of maxillofacial fractures and may actually increase the risk of complication. 25,26 Clinical evidence shows that the longer a CSF leak persists, the greater the risk of meningitis. [24][25][26] However, early intervention in the treatment of maxillofacial fractures in the present study may have contributed in preventing complications as most of the patients presented early in the hospital.…”

Section: Discussionmentioning

confidence: 99%

“…25,26 Clinical evidence shows that the longer a CSF leak persists, the greater the risk of meningitis. [24][25][26] However, early intervention in the treatment of maxillofacial fractures in the present study may have contributed in preventing complications as most of the patients presented early in the hospital.…”

Section: Discussionmentioning

confidence: 99%

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Maxillofacial trauma and cerebrospinal fluid leak: a retrospective clinical study

Charles E,

Birch D

2023

Afr H. Sci.

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Objectives: To determine the prevalence of maxillofacial fractures associated with persistent CSF leak, and to assess its bearing on clinical outcomes of consecutive patients managed at our centre.Methods: This was a retrospective cross-sectional study. The medical records of patients over 11-year period were analysed for age, gender, etiology of injuries, duration between injury and presentation to the hospital, types of facial fracture and their treatments, treatment done to control CSF leak, and complication(s). Descriptive and bivariate statistics were computed.Results: Overall, 1473 patients were evaluated, 66 (4.5%) presented with craniofacial injuries associated with persistent CSF leak after 5 days of non-surgical treatment. Males (92.5%, P= 0.0000) and those in the 21 to 30 years age group (59.1 %, P= 0.01) were predominant. The most common (68.2%) type of fracture combination was Le Fort I, II and III, NOE, zygomatic complex and mandible. The commonest clinical presentation of CSF leak was rhinorrhea only, in 66.7% of patients (P= 0.001).Conclusions: This study shows that the prevalence of maxillofacial fractures associated with persistent CSF leak was low, which was 4.5% of patients that presented with persistent CSF leak and 84.9% of the cases resolved after treatment of the various maxillofacial fractures.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Maxillofacial trauma and cerebrospinal fluid leak: a retrospective clinical study

Charles E,

Birch D

2023

Afr H. Sci.

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“…This also helps better visualization of the sinus intraoperatively. 8 Recurrence can be prevented by complete removal of the polyp. Regular follow-up is essential.…”

Section: Discussionmentioning

confidence: 99%

An unusual presentation of sphenochoanal polyp

Joseph

Prasad

Koneru

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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On examination of oropharynx, there was a solitary cystic swelling, approximately 5×4 cm in front of the posterior ABSTRACT Sphenochoanal polyp is a rare entity. Isolated polyps arising from mucosa covering the anterior wall of the sphenoid sinus or sphenoethmoidal recess extending till oropharynx is extremely rare. We aim to report a rare case of sphenochoanal polyp with a slender, unusually long stalk which extended till nasopharynx leading to a large bulky polypoidal mass extending till oropharynx. Due to its posterior location, sphenochoanal polyps are often diagnosed late as they can be easily missed in clinical examination. We intend to emphasize the combined use of diagnostic nasal endoscopy and computed tomography imaging in patients presenting with unilateral or bilateral nasal obstruction, snoring and recent onset of sleep disturbances. Treatment includes endoscopic excision of polyp and cauterization of the base of the stalk. Widening of the sphenoid sinus ostium is done when necessary. Early and complete removal and regular follow up is essential to prevent complications.

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Sphenochoanal polyp: a case report

Cited by 2 publications

References 6 publications

Maxillofacial trauma and cerebrospinal fluid leak: a retrospective clinical study

Maxillofacial trauma and cerebrospinal fluid leak: a retrospective clinical study

An unusual presentation of sphenochoanal polyp

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