Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience
DOI:
https://doi.org/10.34631/sporl.1053Keywords:
Sphenoid sinus, Sinusitis, isolated lesionAbstract
Objective: To review and report isolated sphenoid sinus diseases from a tertiary hospital, with special attention to the patients' presenting symptoms, diagnosis, and clinical outcomes.
Study Design, Material and Methods:Retrospective chart review performed on patients diagnosed with isolated sphenoid sinus disease, undergoing endoscopic sinus surgery between January 2017 and December 2021.
Results: 19 patients were included, with a mean age of 48.0 ± 18.7 years. The most common symptom was headache (38.9%) followed by nasal obstruction (33.3%). Cranial neuropathies occurred exclusively in the group of malignant neoplasms. Inflammatory etiology was the most frequent (57.9%) and included fungal sinusitis (27%), chronic rhinosinusitis (18%) and mucocele (5%).
Conclusions: The diagnosis of isolated sphenoid lesions requires a high degree of suspicion since they can present with nonspecific symptoms. Early surgical intervention, for diagnostic or therapeutic purposes, is generally indicated, with nasosinusal endoscopic surgery being the most appropriate modality in most cases.
References
– Grillone GA, Kasznica P. Isolated sphenoid sinus disease. Otolaryngol Clin North Am. 2004 Apr;37(2):435-51. doi: 10.1016/S0030-6665(03)00160-9.
- Wang ZM, Kanoh N, Dai CF, Kutler DI, Xu R, Chi FL. et al. Isolated sphenoid sinus disease: an analysis of 122 cases. Ann Otol Rhinol Laryngol. 2002 Apr;111(4):323-7. doi: 10.1177/000348940211100407.
- Friedman A, Batra PS, Fakhri S, Citardi MJ, Lanza DC. Isolated sphenoid sinus disease: etiology and management. Otolaryngol Head Neck Surg. 2005 Oct;133(4):544-50. doi: 10.1016/j.otohns.2005.04.023.
- Lawson W, Reino AJ. Isolated sphenoid sinus disease: an analysis of 132 cases. Laryngoscope. 1997 Dec;107(12 Pt 1):1590-5. doi: 10.1097/00005537-199712000-00003.
- Sethi DS. Isolated sphenoid lesions: diagnosis and management. Otolaryngol Head Neck Surg. 1999 May;120(5):730-6. doi: 10.1053/hn.1999.v120.a89436.
- Martin TJ, Smith TL, Smith MM, Loehrl TA. Evaluation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg. 2002 Dec;128(12):1413-9. doi: 10.1001/archotol.128.12.1413.
- Moss WJ, Finegersh A, Jafari A, Panuganti B, Coffey CS, DeConde A. et al. Isolated sphenoid sinus opacifications: a systematic review and meta-analysis. Int Forum Allergy Rhinol. 2017 Dec;7(12):1201-1206. doi: 10.1002/alr.22023.
- Wyllie JW 3rd, Kern EB, Djalilian M. Isolated sphenoid sinus lesions. Laryngoscope. 1973 Aug;83(8):1252-65. doi: 10.1288/00005537-197308000-00010.
– Cakmak O, Shohet MR, Kern EB. Isolated sphenoid sinus lesions. Am J Rhinol. Jan-Feb 2000;14(1):13-9. doi: 10.2500/105065800781602993.
– Beton S, Basak H, Ocak E, Kucuk B, Yorulmaz I, Meco C. How often does isolated sphenoid sinus disease turn out to be a neoplasm? J Craniofac Surg. 2016 Jan;27(1):41-3. doi: 10.1097/SCS.0000000000002176.
- Levine H. The sphenoid sinus, the neglected nasal sinus Arch Otolaryngol. 1978 Oct;104(10):585-7. doi: 10.1001/archotol.1978.00790100039008.
- Neyt P, Jorissen M. Diagnosis of isolated sphenoid lesions. B-ENT. 2009;5(4):213-24.
- Brook I. Bacteriology of acute and chronic sphenoid sinusitis. Ann Otol Rhinol Laryngol. 2002 Nov;111(11):1002-4. doi: 10.1177/000348940211101109.
- Montone KT, Livolsi VA, Feldman MD, Palmer J, Chiu AG, Lanza DC. et al. Fungal rhinosinusitis: a retrospective microbiologic and pathologic review of 400 patients at a single university medical center. Int J Otolaryngol. 2012;2012:684835. doi: 10.1155/2012/684835.
- Fawaz SA, Ezzat WF, Salman MI. Sensitivity and specificity of computed tomography and magnetic resonance imaging in the diagnosis of isolated sphenoid sinus diseases. Laryngoscope. 2011 Jul;121(7):1584-9. doi: 10.1002/lary.21828.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
