Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

Series of isolated sphenoid disease: Often neglected but perilous.

Authors:
Hui Jean Yap Ramiza Ramza Ramli Zhi Xiang Yeoh Ida Sadja'ah Sachlin

SAGE Open Med Case Rep 2022 19;10:2050313X221097757. Epub 2022 May 19.

Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.

Isolated sphenoid sinus disease (ISSD) is an uncommon entity and may present with non-specific symptoms. As sphenoid sinus is located adjacent to vital structures, a diseased sphenoid sinus can potentially lead to devastating complications such as cranial neuropathies, cavernous sinus thrombosis and intracranial abscess. Herein, we report a case series of three patients who presented with different localization of headache as their main symptom. Endoscopic nasal assessment showed abnormal nasal cavity findings with mucosal thickening and soft tissue mass occupying the sphenoid sinus revealed by computed tomography (CT) scan. All the sphenoid sinuses were drained via endoscopic approach. Post operatively, antibiotics or anti-fungal were given, however, these three cases displayed the possible variation in severity of this disease. Case 1 had an uncomplicated inflammatory disease of the sphenoid sinus, which is of bacterial origin, while the other two cases had fungal infection. Case 2 achieved disease stability with anti-fungal treatment, but Case 3 had a serious complication after treatment with permanent vision loss. A patient who presents with atypical headache, not responsive to analgesia should be investigated promptly with nasal endoscopic examination and radiological imaging for isolated sphenoid sinus disease to avoid devastating complications.

Download full-text PDF

 Source
http://dx.doi.org/10.1177/2050313X221097757DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9130846PMC
May 2022

Publication Analysis

Top Keywords

sphenoid sinus
24
isolated sphenoid
12
devastating complications
8
sphenoid
8
sinus disease
8
sinus
7
disease
6
avoid devastating
4
nasal assessment
4
bacterial origin
4
assessment abnormal
4
sinus bacterial
4
abnormal nasal
4
endoscopic nasal
4
nasal cavity
4
disease sphenoid
4
cavity findings
4
inflammatory disease
4
origin cases
4
headache main
4

Keyword Occurance

Similar Publications

Rare presentation of angiomatosis in the paranasal sinuses mimicking juvenile nasopharyngeal angiofibroma in a 16 year old male.

Authors:
Neeraj V Suresh Viraj N Shah David Matichak Michael K Ghiam Luke J Pasick Isaac J Abecassis Ali G Saad Jacques Morcos Zoukaa Sargi Rita Bhatia

Radiol Case Rep 2022 Oct 29;17(10):3527-3534. Epub 2022 Jul 29.

Department of Radiology, University of Miami Miller School of Medicine, Miami, FL, USA.

Rare presentation of pediatric angiomatosis of the paranasal sinus and skull base presenting mimicking juvenile nasopharyngeal angiofibroma (JNA). This is a 16-year-old male who presented to the emergency room with acutely worsening headaches, decreased visual acuity, subjective diplopia on lateral gaze, and a skull base mass centered in the sphenoid cavity. Endoscopic biopsy at an outside facility was aborted due to profuse bleeding. Read More

View Article and Full-Text PDF
October 2022
Similar Publications

Indocyanine green endoscopy for pituitary adenomas with parasellar extension: results from a preliminary case series.

Authors:
Matteo de Notaris Matteo Sacco Francesco Corrivetti Iacopo Dallan Luigi Maria Cavallo Teresa Somma Giovanni Parbonetti Antonio Colamaria Domenico Solari

World Neurosurg 2022 Jul 30. Epub 2022 Jul 30.

Department of Neurological Sciences, Division of Neurosurgery, Università degli Studi di Napoli Federico II, Naples.

Background: Advances in visualization tools brought new confidence including the endoscope-integrated indocyanine (E-ICG) which makes pituitary and skull base surgery safer and more effective. We report here the preliminary experience with the use of E-ICG to 1) visualise the cavernous segment of the internal carotid artery (ICA); 2) functionally and anatomically preserve the pituitary gland.

Methods: A dedicated ICG-integrated endoscope was used in 15 patients with parasellar pituitary adenomas. Read More

View Article and Full-Text PDF
July 2022
Similar Publications

Extraction of sphenochoanal polyp with functional endoscopic sinus surgery approach: A rare case and review article.

Authors:
Bunga Aline Ditha Budi Sutikno

Int J Surg Case Rep 2022 Jul 21;97:107429. Epub 2022 Jul 21.

Department of Otorhinolaryngology, Head, and Neck Surgery, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Electronic address:

Background: Sphenochoanal polyp, a rare case of nasal polyp, is a benign mass that originates in the sphenoid sinus and develops into a choanal polyp.

Case Presentation: A 36-year-old Indonesian male complained of irregular right nasal obstruction and runny nose for one year. Physical examination showed soft tissue mass in the right nasal cavity, cyst retention in the right maxillary sinus, right sphenoid sinus, and cervical spondylosis. Read More

View Article and Full-Text PDF
July 2022
Similar Publications

Surgical Management of Rhabdomyosarcoma of the Nasal Cavity and Paranasal Sinuses: Analysis of Operative Indications, Settings, and Outcomes.

Authors:
Lulia A Kana Joshua D Smith Emily L Bellile Rashmi Chugh Erin L McKean

J Neurol Surg B Skull Base 2022 Aug 8;83(4):350-358. Epub 2021 Nov 8.

Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan, United States.

 The role of surgery in management of sinonasal rhabdomyosarcoma (SNRMS) has traditionally been limited, owing to anatomic and technological challenges and the established role of systemic therapy. Herein, we report our institutional experience with surgical management of SNRMS, with a particular focus on operative approaches, extent and outcomes.  This study is a retrospective cohort study. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Nasal sinuses cholesteatoma: case series and review of the English literature.

Authors:
Ahmed Nabil Abdelhamid Ahmed Mohamed M Elsharnouby Marwa Mohamed Elbegermy

Eur Arch Otorhinolaryngol 2022 Jul 28. Epub 2022 Jul 28.

Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University, Cairo, 11331, Egypt.

Background: Nasal sinus cholesteatomas are uncommon slow-growing lesions that are frequently misdiagnosed preoperatively. They can develop due to embryologic remnants or iatrogenic factors (surgical trauma or nasal sinus trauma). In addition, they can cause bone destruction resulting in intracranial or intraorbital complications as well as malignant change if neglected. Read More

View Article and Full-Text PDF
July 2022
Similar Publications
}