Tzu Chi Medical Journal
Volume 21, Issue 3 , Pages 227-232, September 2009

Isolated Sphenoid Sinus Disease: Analysis of 11 Cases

  • Yu-Hsing Lin

      Affiliations

    • Department of Otolaryngology, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Otolaryngology, Buddhist Dalin Tzu Chi General Hospital, 2, Min-Sheng Road, Dalin, Chiayi, Taiwan
    • ,
  • Sheen-Yie Fang

      Affiliations

    • Department of Otolaryngology, Chiali General Hospital, Tainan, Taiwan
    • ,
  • Hsu-Cheuh Ho

      Affiliations

    • Department of Otolaryngology, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan

Received 12 February 2009; received in revised form 17 March 2009; accepted 8 April 2009.

Article Outline

Abstract 

Objective

To evaluate the presenting symptoms, imaging data, surgical treatment, and clinical outcomes associated with isolated sphenoid sinus disease.

Patients and Methods

From July 2003 to February 2008, the authors performed surgery on 11 patients with isolated sphenoid sinus diseases. The presenting signs and symptoms, radiological studies, operative findings, and clinical outcomes were retrospectively reviewed and analyzed.

Results

Five patients presented with a fungal process, three with sphenoid sinusitis, one with mucocele, one with an angiofibroma, and one with fibrous dysplasia. The most common presenting symptom was headache, followed by rhinorrhea and visual symptoms. Ten patients were treated endoscopically and one patient was treated with an external approach.

Conclusion

Because of the proximity of the sphenoid sinus to important and vulnerable structures of the skull base, delay in diagnosis and treatment can lead to the development of serious intracranial and orbital complications. The presenting symptoms of patients with an isolated sphenoid sinus lesion are often vague and nonspecific, with headache being the only reliable finding. Endoscopic sinus surgery is a safe, effective, and direct approach to the sphenoid sinus.

Keywords:  Angiofibroma , Fibrous dysplasia , Mucocele , Sphenoid sinus disease

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PII: S1016-3190(09)60044-6

doi:10.1016/S1016-3190(09)60044-6

Tzu Chi Medical Journal
Volume 21, Issue 3 , Pages 227-232, September 2009

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