Isolated Sphenoid Sinus Disease

Analysis of 11 Cases

Yu Hsing Lin, Sheen-Yie Fang, Hsu Cheuh Ho

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To evaluate the presenting symptoms, imaging data, surgical treatment, and clinical outcomes associated with isolated sphenoid sinus disease. Patients and Methods: From July 2003 to February 2008, the authors performed surgery on 11 patients with isolated sphenoid sinus diseases. The presenting signs and symptoms, radiological studies, operative findings, and clinical outcomes were retrospectively reviewed and analyzed. Results: Five patients presented with a fungal process, three with sphenoid sinusitis, one with mucocele, one with an angiofibroma, and one with fibrous dysplasia. The most common presenting symptom was headache, followed by rhinorrhea and visual symptoms. Ten patients were treated endoscopically and one patient was treated with an external approach. Conclusion: Because of the proximity of the sphenoid sinus to important and vulnerable structures of the skull base, delay in diagnosis and treatment can lead to the development of serious intracranial and orbital complications. The presenting symptoms of patients with an isolated sphenoid sinus lesion are often vague and nonspecific, with headache being the only reliable finding. Endoscopic sinus surgery is a safe, effective, and direct approach to the sphenoid sinus.

Original languageEnglish
Pages (from-to)227-232
Number of pages6
JournalTzu Chi Medical Journal
Volume21
Issue number3
DOIs
Publication statusPublished - 2009 Sep 1

Fingerprint

Sphenoid Sinus
Headache
Sphenoid Sinusitis
Angiofibroma
Mucocele
Skull Base
Signs and Symptoms

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Lin, Yu Hsing ; Fang, Sheen-Yie ; Ho, Hsu Cheuh. / Isolated Sphenoid Sinus Disease : Analysis of 11 Cases. In: Tzu Chi Medical Journal. 2009 ; Vol. 21, No. 3. pp. 227-232.
@article{d6da8168fcb34b8e8d5dcfb5df1abf54,
title = "Isolated Sphenoid Sinus Disease: Analysis of 11 Cases",
abstract = "Objective: To evaluate the presenting symptoms, imaging data, surgical treatment, and clinical outcomes associated with isolated sphenoid sinus disease. Patients and Methods: From July 2003 to February 2008, the authors performed surgery on 11 patients with isolated sphenoid sinus diseases. The presenting signs and symptoms, radiological studies, operative findings, and clinical outcomes were retrospectively reviewed and analyzed. Results: Five patients presented with a fungal process, three with sphenoid sinusitis, one with mucocele, one with an angiofibroma, and one with fibrous dysplasia. The most common presenting symptom was headache, followed by rhinorrhea and visual symptoms. Ten patients were treated endoscopically and one patient was treated with an external approach. Conclusion: Because of the proximity of the sphenoid sinus to important and vulnerable structures of the skull base, delay in diagnosis and treatment can lead to the development of serious intracranial and orbital complications. The presenting symptoms of patients with an isolated sphenoid sinus lesion are often vague and nonspecific, with headache being the only reliable finding. Endoscopic sinus surgery is a safe, effective, and direct approach to the sphenoid sinus.",
author = "Lin, {Yu Hsing} and Sheen-Yie Fang and Ho, {Hsu Cheuh}",
year = "2009",
month = "9",
day = "1",
doi = "10.1016/S1016-3190(09)60044-6",
language = "English",
volume = "21",
pages = "227--232",
journal = "Tzu Chi Medical Journal",
issn = "1016-3190",
publisher = "Elsevier (Singapore) Pte Ltd",
number = "3",

}

Isolated Sphenoid Sinus Disease : Analysis of 11 Cases. / Lin, Yu Hsing; Fang, Sheen-Yie; Ho, Hsu Cheuh.

In: Tzu Chi Medical Journal, Vol. 21, No. 3, 01.09.2009, p. 227-232.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Isolated Sphenoid Sinus Disease

T2 - Analysis of 11 Cases

AU - Lin, Yu Hsing

AU - Fang, Sheen-Yie

AU - Ho, Hsu Cheuh

PY - 2009/9/1

Y1 - 2009/9/1

N2 - Objective: To evaluate the presenting symptoms, imaging data, surgical treatment, and clinical outcomes associated with isolated sphenoid sinus disease. Patients and Methods: From July 2003 to February 2008, the authors performed surgery on 11 patients with isolated sphenoid sinus diseases. The presenting signs and symptoms, radiological studies, operative findings, and clinical outcomes were retrospectively reviewed and analyzed. Results: Five patients presented with a fungal process, three with sphenoid sinusitis, one with mucocele, one with an angiofibroma, and one with fibrous dysplasia. The most common presenting symptom was headache, followed by rhinorrhea and visual symptoms. Ten patients were treated endoscopically and one patient was treated with an external approach. Conclusion: Because of the proximity of the sphenoid sinus to important and vulnerable structures of the skull base, delay in diagnosis and treatment can lead to the development of serious intracranial and orbital complications. The presenting symptoms of patients with an isolated sphenoid sinus lesion are often vague and nonspecific, with headache being the only reliable finding. Endoscopic sinus surgery is a safe, effective, and direct approach to the sphenoid sinus.

AB - Objective: To evaluate the presenting symptoms, imaging data, surgical treatment, and clinical outcomes associated with isolated sphenoid sinus disease. Patients and Methods: From July 2003 to February 2008, the authors performed surgery on 11 patients with isolated sphenoid sinus diseases. The presenting signs and symptoms, radiological studies, operative findings, and clinical outcomes were retrospectively reviewed and analyzed. Results: Five patients presented with a fungal process, three with sphenoid sinusitis, one with mucocele, one with an angiofibroma, and one with fibrous dysplasia. The most common presenting symptom was headache, followed by rhinorrhea and visual symptoms. Ten patients were treated endoscopically and one patient was treated with an external approach. Conclusion: Because of the proximity of the sphenoid sinus to important and vulnerable structures of the skull base, delay in diagnosis and treatment can lead to the development of serious intracranial and orbital complications. The presenting symptoms of patients with an isolated sphenoid sinus lesion are often vague and nonspecific, with headache being the only reliable finding. Endoscopic sinus surgery is a safe, effective, and direct approach to the sphenoid sinus.

UR - http://www.scopus.com/inward/record.url?scp=70350340043&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=70350340043&partnerID=8YFLogxK

U2 - 10.1016/S1016-3190(09)60044-6

DO - 10.1016/S1016-3190(09)60044-6

M3 - Article

VL - 21

SP - 227

EP - 232

JO - Tzu Chi Medical Journal

JF - Tzu Chi Medical Journal

SN - 1016-3190

IS - 3

ER -