Kasim, W., Arif, A., Abbas, A. (2023). Isolated Sphenoid Sinus Disease. , 22(3), 347-354. doi: 10.52573/ipmj.2023.181201
Waleed Hazim. Kasim; Asmaa Abdul Sattar Arif; Azzam Muhsin Abbas. "Isolated Sphenoid Sinus Disease". , 22, 3, 2023, 347-354. doi: 10.52573/ipmj.2023.181201
Kasim, W., Arif, A., Abbas, A. (2023). 'Isolated Sphenoid Sinus Disease', , 22(3), pp. 347-354. doi: 10.52573/ipmj.2023.181201
Kasim, W., Arif, A., Abbas, A. Isolated Sphenoid Sinus Disease. , 2023; 22(3): 347-354. doi: 10.52573/ipmj.2023.181201

Isolated Sphenoid Sinus Disease

Iraqi Postgraduate Medical Journal
Article 16, Volume 22, Issue 3, July 2023, Pages 347-354    PDF (674.63 K)
Document Type: Review Article
DOI: 10.52573/ipmj.2023.181201
Authors
Waleed Hazim. Kasim1; Asmaa Abdul Sattar Arif* 2; Azzam Muhsin Abbas3
1Department оf Anatоmy , Cоllege оf Medicine, University оf Ninevah, Mоsul , Iraq.
2Al Karama Teaching Hospital, Baghdad, Iraq.
3Al-Shaheed Ghazi Al-Hariri for Surgical Specialties Teaching Hospital, Medical City, Baghdad, Iraq.
Abstract
BACKGROUND:
Isolated sphenoid sinus disease represents a difficult to diagnose disease, generally presents with unclear symptoms. With potential serious complications, early diagnosis requires a high index of clinical suspicion and appropriate radiological imaging.
OBJECTIVE:
The study aims to evaluate clinical presentation, pathological features, radiological appearance and different surgical approaches of isolated sphenoidal sinus disease.
PATIENTS AND METHODS:
A cross-sectional study was performed at Baghdad medical city (Ghazi Hariri Hospital for Specialized Surgery/ otorhinolaryngology and Private Nursing Home Hospital) from December 2018 to December 2019, involved 23 patients with isolated sphenoid disease all patients were  assessed by history, examination and investigations diagnosis made by CT scan evidence, demographic data, clinical presentation, pathological feature, radiological appearance and surgical approaches were evaluated.
RESULTS:
23 patients with isolated sphenoid sinus disease, their gender distribution was 10 male and 13 female, their mean age was 33.26 years, headache was the most common clinical presentation in 15 (65.21%) patients, CSF leak in 2(8.69%) patients, epistaxis in 1(4.34%) patient, left side facial pain in1(4.34%) patient, bilateral nasal obstruction in 1(4.34%) patient, recurrent attack of sore throat in1(4.34%) patient, loss of vision in 1(4.34%) patient and blurred vision in 1(4.34%) patient.        Most common etiology of isolated sphenoid sinus disease was inflammation in 17(73.91%) patients, Neoplasm account in 3(13%) patients. Others account in 3(13%) patients. All patients underwent C.T imaging and M.R.I done to some of them, its finding was recorded. Two surgical approaches used in sphenoid sinus disease, most cases operated by direct endoscopic trans-nasal approach 86.95% in (20) patients and trans-ethmoid used in three patients 13%.
CONCLUSION:
Headache mainly retroorbital is the most common clinical presentation, inflammatory lesion mostly mucocele is the most pathological feature, isodense homogenous soft tissue opacity without bone erosion is the most common radiological appearance, transnasal approach is the most surgical approach of isolated sphenoid sinus disease.
 
Keywords
Isolated sphenoid sinus disease; CT scan; headache; Transnasal approach
References
  1. Huins C., Anatomy of the skull base and infratemporal fossa.IN: Watkinson JC, Clarke Rw(Eds). Scott-Brown's Otorhinolaryngology Head and Neck Surgery.8th ed. London: Taylor & Francis group;2018:1200
  2. Dalgorf DM, Harvey RJ , Anatomy of the nose and paranasal sinuses. .IN: Watkinson JC, Clarke Rw(Eds). Scott-Brown's Otorhinolaryngology Head and Neck Surgery.8th ed. London: Taylor & Francis group;2018:963
  3. .Leung RM, Walsh WE, Kern RC, Sinonasal Anatomy and Physiology JOHNSON JT, ROSEN CA(eds).Bailey'sHead and neck surgery-otolaryngology. Fifth edition.in Philadelphia PA 19103. Wolters Kluwer I Lippincott Williams & Wilkins:2014:362
  4. Ng YH, Sethi DS. Isolated sphenoid sinus disease: differential diagnosisand management. Curr Opin Otolaryngol Head Neck Surg 2011;19:16–20.
  5. Marcolini TR, Safraider MC, Socher JA, Lucena GO. Differential diagnosis and treatment of isolated pathologies of the sphenoid sinus: retrospective study of 46 cases. Int Arch Otorhinolaryngol 2015; 19:124–29
  6. Wang P, Ge W, Ni X, et al. Endoscopic Treatment of Isolated Sphenoid Sinus Disease in Children. Ear, Nose & Throat Journal. 2019;98:425-30.
  7. shak NL, Subha ST, Abu Bakar S. Isolated sphenoid sinusitis: A big headache. Malays Fam Physician. 2019;14:29-30.
  8. Nour YA, Al-Madani A, El-Daly A, Gaafar A. Isolated sphenoid sinus pathology: spectrum of diagnostic and treatment modalities. Auris Nasus Larynx 2008; 35:500–8.
  9. Alazzawi S, Shahrizal T, Prepageran N, Pailoor J. Isolated sphenoid sinus lesion: a diagnostic dilemma. Qatar Med J 2014; 2014:57– 60.
  10. Elhamshary AS, Romeh HE, Abdel-Aziz MF, Ragab SM. Endoscopic approaches to benign sphenoid sinus lesions: development of an algorithm based on 13 years of experience. J Laryngol Otol 2014;128:791–96.
  11. Hadad G, Bassagaisteguy L, Carrau RL, et al. A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 2006;116:1882–86.
  12. Samia A. Fawaz, MD; Waleed F. Ezzat, MD; Manal I. Salman, MD Sensitivity and Specificity of Computed Tomography and Magnetic Resonance Imaging in the Diagnosis of Isolated Sphenoid Sinus Diseases. The Laryngoscope.2011, 121:1584–89.
  13. Nour YA, Al-Madani A, El-Daly A, Gaafar A. Isolated sphenoid sinus pathology: spectrum of diagnostic and treatment modalities. Auris Nasus Larynx.2008;35:500–8.
  14. ERAVCI FC, CEYLAN A, GÖCEK M , İLERI F, USLU SS, YILMAZ M, KIZIL Y. Isolated sphenoid sinus pathologies: a series of 40 cases. Turkish Journal of Medical Sciences. 2017;47:1560-67.
  15. Friedman A, MD, Batra P, MD, Fakhri S, MD, J. Citardi M, MD,  C. Lanza D, MD. Isolated Sphenoid Sinus Disease: Etiology and Management. Otolaryngology–Head and Neck Surgery. 2005;133:544-50: page number546
  16. Socher JA, Cassano DM, Filheiro CA, Cassano P, Felippu Diagnosis and treatment of isolated sphenoid sinus disease: a review of 109 cases, Acta Oto-Laryngologica. 2008;128:1004-10
  17. MossWJ, Finegersh A, Jafari A, et al. Isolated sphenoid sinus opacifications: a systematic review andmeta-analysis. International Forum of Allergy & Rhinology .2017;1-6
  18. Marcolini TR, Safraider MC, Socher JA, Lucena GO. Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus:Retrospective Study of 46 Cases. International Arch Otorhinolaryngol.2015;19:124–29.
Statistics
Article View: 303
PDF Download: 185


Journal Management System. Powered by iJournalPro.com