Clinical analysis of solitary sphenoid sinus disease.
- Author:
Lingbo LI
1
;
Mengling WEI
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, the Fourth Affiliated Hospital, Guangxi Medical University, Liuzhou, 545005, China. Lilb_666@126.com
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Aged;
Child;
Female;
Humans;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Paranasal Sinus Diseases;
diagnosis;
surgery;
Retrospective Studies;
Sphenoid Sinus;
pathology;
Tomography, X-Ray Computed;
Young Adult
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2008;22(2):70-72
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the clinical characters and treatment on solitary sphenoidal sinus disease thus improve the initial diagnosis accuracy and curative rate together with avoiding severe complications.
METHOD:Forty-six cases were included in the study. The clinical manifestations, medical imaging characteristics and type of pathology and surgical treatment efficacy were analyzed retrospectively.
RESULT:The main symptoms were headache and visual lesion. Medical image showed pace occupying lesion and partial destruction of bone. Pathological exams showed 8 cases with sphenoiditis, 19 cases with fungal infection, 10 cases with cysts and 9 cases with polyposis. All the patients underwent open sphenoidal surgery with nasal endoscope. After a follow-up of over 6 months, most of the patients' symptoms had been obviously relieved. And the entrance to sphenoid was patent with smooth sinus wall and no secretion in sinus cavity.
CONCLUSION:There is no specificity with solitary sphenoidal sinus disease. Pre-operation diagnosis rate can be improved with the help of nasal endoscope and CT or MRI. Nasal sinus surgery with nasal endoscope may be the first choice for treatment.
