Surgical Management of Acute Sphenoid Sinusitis: A Review

Sphenoidal sinusitis is usually described as acute inflammation of the sphenoid sinuses - either one or both - (the two large cavities just behind the nose and between the eyes). The disease is relatively uncommon—comparatively, chronic sphenoid sinusitis is more common—and may be limited to the sphenoid sinus or, more commonly, may involve multiple sinuses or pansinusitis. Acute sphenoid sinusitis can lead to symptoms such as headaches, nausea, and even complications in the orbit. For low vision, early diagnosis and treatment is essential to preserve vision and life. This study aims Learn about surgical approaches to the treatment of acute sinusitis

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Isolated lesions of the sphenoid sinus: features of diagnosis and treatment

Science and Innovations in Medicine ◽

10.35693/2500-1388-2020-5-1-17-22 ◽

2020 ◽

Vol 5 (1) ◽

pp. 17-22

Author(s):

Roman A. Larin ◽

Svetlana V. Krasilnikova ◽

Andrey V. Shakhov ◽

Polina V. Suzaeva ◽

Evgeni N. Pisarev

Keyword(s):

Differential Diagnosis ◽

Clinical Efficacy ◽

Sphenoid Sinus ◽

Diagnosis And Treatment ◽

Surgical Approaches ◽

Gender Distribution ◽

Extended Access ◽

Anti Inflammatory ◽

Sphenoid Sinuses

Objectives - to analyze the cases of isolated lesions of the sphenoid sinuses and to identify the main errors in the differential diagnosis in the prehospital and treatment periods. Material and methods. The study includes the data on the treatment of 58 patients with an isolated lesion of the sphenoid sinus in the period 2015-2018. The patients' age varied from 18 to 68 years. Gender distribution: men - 21 (30.7%), women - 37 (69.3%). Results. The following surgical approaches were used: transnasal access, extended transnasal access, transetmoid access, access according to the Bolger Box technique. In one case, the transpterygoid approach was used. When performing extended access, it was possible to achieve the formation of persistent, epithelized anastomosis in all the cases. In polypous-purulent forms of sphenoiditis, the relapses of the disease were most often observed, however, only anti-inflammatory therapy was required, including a sinus irrigation through the formed anastomosis. Conclusion. Further studies are required, to examine the features/ safety and clinical efficacy of the various endosurgical approaches.

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Mucocele of the sphenoid sinus: a rare entity to keep in mind

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0013.2796 ◽

2019 ◽

Vol 8 (2) ◽

pp. 1-5

Author(s):

Marrakchi jihene ◽

Mejbri Maha ◽

Sana Mahfoudhi ◽

Besbes Ghazi

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Magnetic Resonance ◽

Surgical Management ◽

Sphenoid Sinus ◽

Diagnosis And Treatment ◽

Rare Entity ◽

Resonance Imaging ◽

Computed Tomography Scan ◽

Tomography Scan

Isolated sphenoid sinus mucocele (SSM) is a rare entity that can result in serious sequelae if diagnosis and treatment are inappropriately delayed. Typically, mucoceles are asymptomatic, and they are accidentally identified after computed tomography scan or magnetic resonance imaging of the maxillofacial area performed for other pathologic issues. We report a case of isolated SSM that only presented with headache for over a year, and also review the literature regarding surgical management of such entity.

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Bilateral Blindness Due to Acute Isolated Sphenoid Sinusitis- Is It Reversible? A Case Report

Journal of Medicine ◽

10.3329/jom.v15i2.20700 ◽

2014 ◽

Vol 15 (2) ◽

pp. 146-148

Author(s):

Roshan Kumar Verma ◽

Naresh K Panda

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Differential Diagnosis ◽

Case Report ◽

Early Diagnosis ◽

Paranasal Sinuses ◽

Sphenoid Sinus ◽

Vision Loss ◽

Clinical Presentation ◽

Sphenoid Sinusitis

Acute isolated sphenoid sinusitis is a rare and is seen in only 3% of all cases of all sinusitis. It is frequently misdiagnosed because of its vague clinical presentation. We report a case of 35year old female who presented to our emergency department with complaints of painless rapidly developing bilateral vision loss. Non contrast computed tomography of paranasal sinuses showed only mild opacification of sphenoid sinus. Endoscopic sphenoidectomy was performed within 4 hrs of presentation. After 48 hrs of surgery the patient vision returned to 6/6 bilaterally. Acute sphenoid sinusitis should be considered in the differential diagnosis of acute vision loss. Awareness, early diagnosis, astute clinical sense and emergent intervention can prevent permanent complication.DOI: http://dx.doi.org/10.3329/jom.v15i2.20700 J MEDICINE 2014; 15 : 146-148

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Early Diagnosis and Surgical Management of Acoustic Neuroma: Is it Cost Effective?

Journal of the Royal Society of Medicine ◽

10.1177/014107688908200606 ◽

1989 ◽

Vol 82 (6) ◽

pp. 329-332 ◽

Cited By ~ 20

Author(s):

D A Moffat ◽

D G Hardy

Keyword(s):

Early Diagnosis ◽

Surgical Management ◽

Acoustic Neuroma ◽

Surgical Intervention ◽

Cost Effective ◽

Morbidity And Mortality ◽

Diagnosis And Treatment ◽

Acoustic Neuromas ◽

Acoustic Nerve ◽

Microsurgical Techniques

Audiological and radiological advances and refinement of microsurgical techniques have facilitated the diagnosis and excision of very small acoustic nerve tumours with a low morbidity and mortality. Is this cost effective? In an attempt to answer this question, an analysis of 66 cases of surgically treated acoustic neuromas is presented. This represents a part of a series of otoneurosurgical procedures carried out at Addenbrooke's Hospital over the last five years. By studying the relative morbidity of early and late surgical intervention in these cases, and by costing the exercise, the justification for early diagnosis and treatment is presented both in financial and human terms.

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Surgical management of facial nerve palsy: our experience

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20175563 ◽

2017 ◽

Vol 4 (1) ◽

pp. 38

Author(s):

Devang P. Gupta ◽

Shreya Rai ◽

K. S. Dinesh

Keyword(s):

Early Diagnosis ◽

Facial Nerve ◽

Surgical Management ◽

Diagnostic Tests ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Surgical Approaches ◽

High Prevalence ◽

Facial Nerve Decompression ◽

The Ideal

Background: Facial nerve palsy is a challenging task to deal with in patients as it has medical as well as social implications. The aim of this study was to examine the efficacy of different surgeries for facial palsy according to pathology and the ideal time for surgery. Methods: This prospective study was conducted with the help of a structured proforma for history and examination. Defined diagnostic tests were performed and depending on complexities of cases, different surgical approaches were done. Results: A total of 50 patients with secondary facial nerve palsies were included in our study and after thorough evaluation surgical management was planned. Ninety two percent were treated with facial nerve decompression, 4% with neurorrhaphy of the nerve and another 4% with cable graft. Conclusions: High prevalence of facial nerve palsy in today’s era necessitates early diagnosis and management in order to prevent complications and thereby reducing the risk of permanent disfigurement.

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Isolated Sphenoid Sinusitis: Problems in Diagnosis and Therapy

American Journal of Rhinology ◽

10.2500/105065895781873764 ◽

1995 ◽

Vol 9 (4) ◽

pp. 229-236 ◽

Cited By ~ 2

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.

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