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Isolated sphenoid sinus changes – history, CT and endoscopic finding

Published online by Cambridge University Press:  29 June 2007

Tuvia Hadar ,
Eitan Yaniv  and
Jacob Shvero
Tuvia Hadar*
Affiliation:
Nose and Sinus Unit, Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Eitan Yaniv
Affiliation:
Nose and Sinus Unit, Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Jacob Shvero
Affiliation:
Nose and Sinus Unit, Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
*
Address for correspondence: T. Hadar, M.D., Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva 49 100, Israel. Fax: 972 3 922 0087
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Abstract

This study reviews the records of 21 patients with isolated sphenoid sinus disease who were treated by rigid endoscopic sphenoidotomy at the Nose and Sinus Unit, Department of Otolaryngology of Beilinson Medical Center, Israel.

Diagnosis was made on the basis of history, rigid nasal endoscopy and computed tomography (CT) scan. The most frequent symptom was headache; no instances of ‘pathognomonic’ headache were found. Sphenoidotomy was performed through the area of the natural ostium. The pathological finding was infection in 11 patients, cyst in four patients, polyps in three patients, mucocoele in two, and inverted papilloma in one patient.

Surgical results were very good. Endoscopic sphenoidotomy proved to be safe, with minimal blood loss, reduced operating time, decreased morbidity, and short post-operative hospitalization.

Keywords

Sphenoid sinusEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 850 - 853
Copyright
Copyright © JLO (1984) Limited 1996

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