Two Cases of Isolated Sphenoid Sinus Aspergillosis.
- Author:
Deug Rok CHOI
1
;
Dae Won LEE
;
Chang Seog KIM
Author Information
1. Department of Otolaryngology, Hanil General Hospital, Seoul, Korea. naenim@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Aspergillosis;
Sphenoid sinus
- MeSH:
Aspergillosis*;
Aspergillus;
Headache;
Sinusitis;
Sphenoid Sinus*;
Turbinates
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1999;42(1):118-121
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aspergillus sp. are the most common contaminants found in the paranasal fungal sinusitis, but isolated sphenoid sinus invasion is extremely rare. According to sinus anatomy and depending on its contiguous structures, various symptoms and complications may appear. Of these symptoms and complications, headaches are the most frequently observed in the few documented cases. The treatment is primarily surgical, through either transnasal or transethmoid approach, depending on whether or not the disease is limited to the sphenoid sinus. The transnasal endoscopic technique offers excellent visualization and an atraumatic approach to the sphenoid sinus. It is performed with the superior turbinate used as the key landmark for identification. For this technique, a wide enlargement of the natural sphenoid ostium is also important. Along with a review of literature, we present two cases of sphenoid sinus aspergillosis which were successfully treated by transnasal endoscopic sphenoidotomy.
