scholarly journals Incidental Sphenoid Sinus Opacification on Cone Beam Datasets

2020 ◽  
Vol 7 (5) ◽  
pp. 11-18
Author(s):  
Remy Head ◽  
David ◽  
Paul Mansour
Keyword(s):  
Sphenoid Sinus ◽  
Legal Responsibility ◽  
Cone Beam ◽  
Dental Practice ◽  
Treatment Needs ◽  
Sinus Disease ◽  
Radiology Practice ◽  
Sinus Wall ◽  
Practice Assessment ◽  
Paranasal Sinus Disease

Background: The purpose of this study was to investigate the varying presentations of sphenoid sinus opacification on cone beam datasets. Further, this paper will provide guidance to dentists regarding potential referral pathways and treatment needs. Methods: Fifty cone beam datasets were selected from 3704 cases referred to a private radiology practice. Assessment of the extent and severity of paranasal sinus disease was based on the Lund-Mackay scoring system. The presence of sclerosis, calcification and mucous in relation to the sphenoid sinus was also recorded. Results: The incidence of isolated sphenoid opacification in this population is approximately 0.49%. Sphenoid opacification was associated with opacification of the ipsilateral posterior ethmoids (p = 0.036). Sclerosis, calcification and mucous were present in 78%, 12% and 36% of cases, respectively. Conclusions: Dentists have a medico-legal responsibility for the assessment of all imaging performed in the dental practice, including cone beam datasets. An understanding of key symptoms and radiographic features helps dentists triage appropriately the referral of patients with sphenoid sinus disease. Urgent assessment is mandated by the presence of destruction/erosion of any sinus wall or the presence of an obvious or expansile mass.

scholarly journals A Case of Sphenoidal Meningoencephalocele Masquerading as an Isolated Sphenoid Mucocele

2021 ◽  
Vol 64 (9) ◽  
pp. 680-683
Author(s):  
Young-Chan Kim ◽  
Jiwon Kwak ◽  
Hyeongeun Kim ◽  
Sang Hag Lee
Keyword(s):  
Sphenoid Sinus ◽  
Surgical Complication ◽  
Inferior Turbinate ◽  
Mri Findings ◽  
Sinus Disease ◽  
Cerebrospinal Fluid Rhinorrhea ◽  
Sinus Wall ◽  
Leakage Site ◽  
The Right ◽  
Ct And Mri

Isolated sphenoid sinus disease is often misdiagnosed because of its rarity and varing clinical presentation. A 51-year-old male visited the hospital with abnormal brain CT findings which showed homogenous opacification associated with sinus wall expansion on the right sphenoid sinus. Under the impression of isolated sphenoid mucocele, the fenestration of sphenoid sinus was conducted without surgical complication. But, cerebrospinal fluid rhinorrhea spontaneously developed 3 days after fenestration operation and then stopped by sealing the suspicious leakage site with free graft of inferior turbinate mucosa. Based on the pathological findings, paranasal sinus CT and MRI findings, this case is reported to be meningoencephalocele developed in sphenoid sinus.

scholarly journals Retrobulbar optic neuropathy secondary to isolated sphenoid sinus disease

2015 ◽  
Vol 6 (02) ◽  
pp. 238-240 ◽  
Author(s):  
Vishal Annaji Chafale ◽  
Satish Arunkumar Lahoti ◽  
Alak Pandit ◽  
Goutam Gangopadhyay ◽  
Atanu Biswas
Keyword(s):  
Optic Nerve ◽  
Breast Carcinoma ◽  
Optic Neuritis ◽  
Optic Neuropathy ◽  
Sphenoid Sinus ◽  
Direct Compression ◽  
Orbital Apex ◽  
Sinus Disease ◽  
Paranasal Sinus Disease ◽  
Optic Nerve Compression

ABSTRACTParanasal sinus disease can cause a condition that mimics optic neuritis. Simultaneous appearance of both diseases would create etiological dilemma .We report two cases of retrobulbar optic neuropathy secondary to isolated sphenoid sinus disease. In the case of a 65-year-old female who had presented with acute loss of vision in the left eye associated with left-sided frontal headache which subsequently turned out to be caused by optic nerve compression at the orbital apex due to collection in abnormally pneumatized left lesser wing of the sphenoid. In another case, a 65-year-old lady had presented with symptoms of bilateral retrobulbar optic neuropathy which was found to be due to direct compression of optic nerves at the orbital apex secondary to metastases from breast carcinoma.

A Comparative Study of Endoscopic Finding and Radiological Appearance in Paranasal Sinus Disease

2018 ◽  
Vol 2 (S1) ◽  
pp. e000128
Author(s):  
Anjani Agarwal ◽  
Alpesh Fefar ◽  
Manish Mehta
Keyword(s):  
Ct Scan ◽  
Paranasal Sinus ◽  
Uncinate Process ◽  
Nasal Endoscopy ◽  
High Association ◽  
Sinus Disease ◽  
Radiological Appearance ◽  
Highly Sensitive ◽  
Operative Findings ◽  
Paranasal Sinus Disease

Aims and Objectives: The study is carried out with an objective to compare the diagnostic nasal endoscopic findings and radiological appearance in patients with paranasal sinus disease. Methods: 50 cases of chronic sinusitis not responding to routine medical line of treatment were selected and operated after being thoroughly investigated by means of nasal endoscopy and CT scan.  Results: Out of 50 cases, 35 underwent bilateral surgery and 15 underwent unilateral surgery, so a total of 85 procedures were carried out. Findings of both the CT scan as well as diagnostic nasal endoscopy were compared to each other and ultimately correlated with operative findings.  Conclusion: In our study, a high association is found between both the modalities of investigation i.e CT scan and diagnostic nasal endoscopy with one scoring over the other in different parameters. Diagnostic nasal endoscopy is found to be highly sensitive investigatory modality for parameters like frontal recess, spheno-ethmoid recess and hiatus semilunaris, where as CT scan is found to be highly sensitive for parameters like maxillary sinus, uncinate process and posterior ethmoids. So, a case of sinus disease should be diagnosed as early as possible using both these modalities as together they complement each other. Early diagnosis and effective management cures the pathology and prevents disastrous complications.  

Limited-slice CT in the evaluation of paranasal sinus disease in children.

1991 ◽  
Vol 156 (2) ◽  
pp. 367-369 ◽  
Author(s):  
G W Gross ◽  
S J McGeady ◽  
T Kerut ◽  
S M Ehrlich
Keyword(s):  
Paranasal Sinus ◽  
Sinus Disease ◽  
Paranasal Sinus Disease

Nontraumatic emergencies of inflammatory paranasal sinus disease

2019 ◽  
Vol 40 (2) ◽  
pp. 125-138
Author(s):  
Patrick G Craig ◽  
Xin Zhan ◽  
Nour Aly ◽  
Bruno Policeni
Keyword(s):  
Paranasal Sinus ◽  
Sinus Disease ◽  
Paranasal Sinus Disease

scholarly journals Cone-Beam Three-Dimensional Dental Volumetric Tomography in Dental Practice

2017 ◽  
Vol 7 (3) ◽  
pp. 62 ◽  
Author(s):  
Suzan Cangul ◽  
Ozkan Adiguzel
Keyword(s):  
Soft Tissues ◽  
Low Cost ◽  
Three Dimensional ◽  
Cone Beam ◽  
Imaging Method ◽  
Dental Practice ◽  
3 Dimensional ◽  
Scanning Time ◽  
Technological Advances ◽  
Native Speakers Of English

Imaging methods are of great importance for diagnosis and treatment in dentistry. With technological advances, great progress has been made in these methods. Over time, 3-dimensional (3-D) imaging has replaced 2-dimensional, thereby providing examination of objects in all directions. Of these methods, which play an important role in the clinical evaluation of patients, cone-beam computed tomography (CBCT) is the newest and most advanced imaging method. This method will revolutionize dental in comparison with conventional CT, it has several advantages, including a shorter scanning time, low radiation dose, low cost and the acquisition of high-resolution images. With 3-D imaging technology, this method has introduced the possibility of applying several procedures from diagnosis in the maxillofacial region to operative and surgical procedures. Although very clear results are not obtained from the imaging of soft tissues, the most important advantage of this technology is the capability of imaging hard and soft tissues together.   How to cite this article: Cangul S, Adiguzel O. Cone-Beam Three-Dimensional Dental Volumetric Tomography in Dental Practice. Int Dent Res 2017;7:62-70.  Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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