scholarly journals Treatment and diagnostic features of odontogenic maxillary sinusitis

2021 ◽  
Vol 23 (3) ◽  
pp. 203-205
Author(s):  
Sergey A. Karpishchenko ◽  
◽  
Elizaveta V. Bolozneva ◽  
Elena S. Karpishchenko ◽  
◽  
...  
Keyword(s):  
Maxillary Sinusitis ◽  
Nasal Passage ◽  
Diagnostic Features ◽  
Transnasal Approach ◽  
Sinus Disease ◽  
Different Types ◽  
Endoscopic Transnasal Approach ◽  
Odontogenic Sinusitis ◽  
Main Thing ◽  
Specific Symptoms

Nowadays, the share of odontogenic maxillary sinusitis according to various authors can reach 40% among all sinusitis. The literature review of the diagnostic and treatment features of odontogenic maxillary sinusitis is done. The use of modern methods of radiation examination allows us to identify the cause of sinusitis and reveal its odontogenic nature. The main thing in the treatment of odontogenic sinusitis is the elimination of the stomatogenic cause of the disease. There are several different types of surgical treatment of maxillary sinus disease: Caldwell–Luke operation, endoscopic transnasal approach with access through the lower and/or middle nasal passage. Our clinical experience of treatment of 36 patients with odontogenic maxillary sinusitis at the ENT department. Odontogenic maxillary sinusitis does not have specific symptoms. There are no recommendations how to choose any approach according to pathology, anatomy, additional diseases etc.

Isolated Sphenoid Sinusitis: Problems in Diagnosis and Therapy

1995 ◽  
Vol 9 (4) ◽  
pp. 229-236 ◽  
Author(s):  
Allen M. Seiden
Keyword(s):  
Bacterial Infections ◽  
Sphenoid Sinus ◽  
Fungal Infections ◽  
Surgical Approaches ◽  
Transnasal Approach ◽  
Sinus Disease ◽  
Advantages And Disadvantages ◽  
Sphenoid Sinusitis ◽  
Transseptal Approach ◽  
Endoscopic Transnasal Approach

Isolated sphenoid sinusitis is relatively uncommon and may present with a variety of symptoms. Therefore, it is often misdiagnosed, or detected only when complications develop. As skull base surgery becomes more prevalent, an understanding of sphenoid disease and its manifestations becomes increasingly important. From September 1989 through January 1994, 10 patients were seen with isolated sphenoid sinus disease. All patients presented with atypical headaches. Six had bacterial infections, three had noninvasive fungal infections, and one patient had a sphenoid mucocele. No patient had any recognized risk factors predisposing to such infection. All patients required surgical drainage, which was done through an endoscopic transnasal approach in five, an endoscopic transethmoid approach in three, and a transseptal approach in two, with no surgical complications. The advantages and disadvantages of these approaches compared to more traditional surgical approaches to the sphenoid sinus are discussed.

The Expanded Endonasal Approach: A Fully Endoscopic Transnasal Approach and Resection of the Odontoid Process

Skull Base ◽  
2005 ◽  
Vol 15 (S 2) ◽  
Author(s):  
Carl Snyderman ◽  
Amin Kassam ◽  
Paul Gardner ◽  
Ricardo Carrau ◽  
Richard Spiro
Keyword(s):  
Odontoid Process ◽  
Endonasal Approach ◽  
Transnasal Approach ◽  
Expanded Endonasal Approach ◽  
Endoscopic Transnasal Approach

The Expanded Endoscopic Transnasal Approach for the Treatment of Clival Chordomas

Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
Amir Dehdashti ◽  
Fred Gentili ◽  
Ian Witterick ◽  
Ahmed Ganna
Keyword(s):  
Transnasal Approach ◽  
Endoscopic Transnasal Approach

Endoscopic Transnasal Approach to the Parapharyngeal Space

Skull Base ◽  
2009 ◽  
Vol 19 (S 02) ◽  
Author(s):  
D.H. Wang ◽  
H.P. Yu ◽  
X.C. Sun ◽  
L. Hu
Keyword(s):  
Parapharyngeal Space ◽  
Transnasal Approach ◽  
Endoscopic Transnasal Approach

Ossifying fibromyxoid tumour of the sphenoid sinus

2009 ◽  
Vol 124 (4) ◽  
pp. 437-440
Author(s):  
S D Shetty ◽  
R J Salib ◽  
S B Nair ◽  
N Mathad ◽  
J Theaker
Keyword(s):  
Skull Base ◽  
Sphenoid Sinus ◽  
Neoplastic Disease ◽  
Clinical Effects ◽  
Soft Tissue Neoplasm ◽  
Transnasal Approach ◽  
Fibrous Stroma ◽  
Neuroectodermal Origin ◽  
Endoscopic Transnasal Approach

AbstractIntroduction:Ossifying fibromyxoid tumour is a recently described, rare but morphologically distinctive soft tissue neoplasm characterised by a combination of myxoid and/or fibrous stroma with areas of ossification. Although most authors postulate a neuroectodermal origin for this peculiar tumour, there is no agreement in the literature regarding its histopathogenesis. To our knowledge, this is the first reported case of ossifying fibromyxoid tumour involving the sphenoid sinus.Histological findings:Tumour of low cell density, composed of small, spindle-shaped or stellate cells with small, irregular nuclei set in a fibromyxoid stroma.Management:Following discussion at the skull base multidisciplinary team meeting, a combined surgical team including an otorhinolaryngologist and a neurosurgeon carried out resection of the lesion, using an endoscopic transnasal approach, followed by reconstruction of the defect.Conclusions:An awareness of the distinctive histopathological features of ossifying fibromyxoid tumour, and of its clinical effects, is crucial to establishing a definitive diagnosis and thereby instituting appropriate management. This case report also reinforces the evolving role of the endoscopic transnasal approach in the management of inflammatory and neoplastic disease involving the skull base. This is increasingly being made possible by close collaboration between multiple surgical specialties, including otorhinolaryngology and neurosurgery.

Aggressive verrucous carcinoma of the paranasal sinuses invading the orbit: case report and literature review

2009 ◽  
Vol 123 (11) ◽  
Author(s):  
J Yiotakis ◽  
T Vamvakidis ◽  
E Iakovou ◽  
L Manolopoulos
Keyword(s):  
Case Report ◽  
Paranasal Sinuses ◽  
Verrucous Carcinoma ◽  
Transnasal Approach ◽  
Early Management ◽  
Combined Radiochemotherapy ◽  
Endoscopic Transnasal Approach ◽  
Well Differentiated ◽  
Orbital Invasion ◽  
Histological Result

AbstractIntroduction:Verrucous carcinoma is a variant of well differentiated squamous cell carcinoma characterised by an exophytic, warty growth which is slowly but locally invasive and which can cause extensive local destruction if left untreated.Case report:We report the first known case of veruccous carcinoma of the paranasal sinuses with rapid orbital invasion. A 58-year-old man presented with right-sided nasal obstruction, a huge right intranasal lesion, intractable dacryocystitis and cutaneous involvement of the nasolacrimal sac region. The tumour was partially removed using an endoscopic transnasal approach. Post-operatively, and while waiting for the histological result, the patient developed signs of rapid invasion of the orbit, with uniocular visual acuity deficit. He underwent combined radiochemotherapy, with a moderate response.Conclusion:Knowledge of the potentially aggressive nature of verrucous carcinoma may be helpful in early management of intraorbital invasion and salvaging of the eye.

scholarly journals New surgical option for optic nerve sheath meningiomas: fully endoscopic transnasal approach

2018 ◽  
Vol 53 (4) ◽  
pp. e142-e144 ◽  
Author(s):  
Cesare Zoia ◽  
Daniele Bongetta ◽  
Fabio Pagella ◽  
Elena R. Antoniazzi ◽  
Paolo Gaetani
Keyword(s):  
Optic Nerve ◽  
Optic Nerve Sheath ◽  
Transnasal Approach ◽  
Nerve Sheath ◽  
Endoscopic Transnasal Approach ◽  
Surgical Option

A Comparison of Near-Infrared Imaging and Computerized Tomography Scan for Detecting Maxillary Sinusitis

2021 ◽  
pp. 000348942110606
Author(s):  
Mehdi Abouzari ◽  
Brooke Sarna ◽  
Joon You ◽  
Adwight Risbud ◽  
Kotaro Tsutsumi ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Computerized Tomography ◽  
Sensitivity And Specificity ◽  
Near Infrared ◽  
Maxillary Sinusitis ◽  
Tertiary Care ◽  
Pixel Intensity ◽  
Sinus Disease ◽  
Nir Imaging ◽  
Average Pixel Intensity

Objective: To investigate the use of near-infrared (NIR) imaging as a tool for outpatient clinicians to quickly and accurately assess for maxillary sinusitis and to characterize its accuracy compared to computerized tomography (CT) scan. Methods: In a prospective investigational study, NIR and CT images from 65 patients who presented to a tertiary care rhinology clinic were compared to determine the sensitivity and specificity of NIR as an imaging modality. Results: The sensitivity and specificity of NIR imaging in distinguishing normal versus maxillary sinus disease was found to be 90% and 84%, normal versus mild maxillary sinus disease to be 76% and 91%, and mild versus severe maxillary sinus disease to be 96% and 81%, respectively. The average pixel intensity was also calculated and compared to the modified Lund-Mackay scores from CT scans to assess the ability of NIR imaging to stratify the severity of maxillary sinus disease. Average pixel intensity over a region of interest was significantly different ( P < .001) between normal, mild, and severe disease, as well as when comparing normal versus mild ( P < .001, 95% CI 42.22-105.39), normal versus severe ( P < .001, 95% CI 119.43-174.14), and mild versus severe ( P < .001, 95% CI 41.39-104.56) maxillary sinus disease. Conclusion: Based on this data, NIR shows promise as a tool for identifying patients with potential maxillary sinus disease as well as providing information on severity of disease that may guide administration of appropriate treatments.

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