Pure Isolated Sphenoid Sinusitis.
- Author:
Chul Ho JANG
1
;
Tae Ook CHOI
;
Jin Ok KIM
;
Young Ho KIM
Author Information
1. Department of Otolaryngology, College of Medicine, Wonkwang University, Iksan, Korea. chul@wonnms.wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Pure Isolated sphenoid sinusitis;
Deep seated headache;
Endoscopic sphenoidotomy
- MeSH:
Diagnosis;
Headache;
Headache Disorders;
Magnetic Resonance Imaging;
Retrospective Studies;
Sphenoid Sinus*;
Sphenoid Sinusitis*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1999;42(10):1269-1273
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Isolated sphenoid sinusitis is often misdiagnosed because of its rarity and varied clinical presentation. Presenting symptom is often both subtle andsuggestive of other intracranial lesions. The purpose of this study is to present typical clinical manifestations and treatment of pure bacterial isolated sphenoid sinusitis. Materials and Method: Nine cases of isolated sphenoid sinusitis of bacterial origin were reviewed retrospectively. RESULTS: Two cases were acute and seven cases were chronic. The most common symptom was deep seated headache. Most of them were transferred via other department. Radiologic diagnosis using CT and MRI was enough to distinguish. Four cases were improved by medical treatment. Five cases were treated by endoscopic sphenoidotomy. CONCLUSION: Isolated sphenoid sinusitis should be considered as a possible cause in case of deep seated, intractable headache. And in this case, CT or thorough endoscopic examination should be recommended. Endonasal endoscopic sphenoidotomy is good and simple treatment for cases intractable to medical treatment.
