Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-19T08:47:13.720Z Has data issue: false hasContentIssue false
  • English
  • Français

Isolated sphenoethmoid recess poiyps

Published online by Cambridge University Press:  29 June 2007

Dharambir S. Sethi ,
David P. C. Lau ,
Lincoln W. J. Chee  and
Vincent Chong
Dharambir S. Sethi*
Affiliation:
Departments of Otolaryngology, Singapore General Hospital, Singapore.
David P. C. Lau
Affiliation:
Departments of Otolaryngology, Singapore General Hospital, Singapore.
Lincoln W. J. Chee
Affiliation:
Departments of Otolaryngology, Singapore General Hospital, Singapore.
Vincent Chong
Affiliation:
Departments of Diagnostic Radiology, Singapore General Hospital, Singapore.
*
Address for correspondence: Dharambir S. Sethi, F.R.C.S., Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 169608. Fax: 65-2262079
Get access Rights & Permissions [Opens in a new window]

Abstract

Isolated sphenoethmoid recess (SER) polyps are rare. They usually arise from the sphenoid sinus. We report six patients with SER polyps as the only abnormal clinical finding at initial presentation. All cases were investigated with outpatient biopsy and computed tomography (CT) or magnetic resonance (MR) imaging. Pre-operative histology revealed three cases of inflammatory disease, two cases with inverted papilloma, and one case of an ectopic pituitary adenoma arising from the sphenoid sinus. One of the inflammatory polyps arose directly from the mucosa around the sphenoid ostium. The other five cases involved the sphenoid sinus. Except for the ectopic pituitary adenoma all the polyps were managed by transnasal endoscopic surgery. We emphasize that isolated SER polyps may signify existing sphenoid pathology and a pre-operative biopsy is valuable for planning surgery.

Keywords

Nasal polypsSphenoid sinusEndoscopy, surgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 7 , July 1998 , pp. 660 - 663
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the Cottle International Rhinology Centennial and XVI ISIAN Meeting, Pittsburgh PA. USA. June 5–8 1997.

References

Crampette, L., Mondain, M., Rombaux, P. (1995) Sphenochoanal poiyp in children. Diagnosis and treatment. Rhinology 33: 43–45.Google Scholar
Hayes, E., Lavelle, W. (1989) Sphenochoanal polyp: CT findings. Journal of Computed Assisted Tomography 13: 365–366.CrossRefGoogle ScholarPubMed
Kennedy, D. W. (1985) Functional endoscopic sinus surgery technique. Archives of Otolaryngology-Head and Neck Surgery 111: 643–649.CrossRefGoogle ScholarPubMed
Metson, R., Gliklich, R. E. (1996) Endoscopic treatment of sphenoid sinusitis. Otolaryngology-Head and Neck Surgery 114: 736–744.Google ScholarPubMed
Pearlman, S. J., Lawson, W., Biller, H. F., Friedman, W. H., Potter, G. D. (1989) Isolated sphenoid sinus disease. Laryngoscope 99: 716–720.CrossRefGoogle ScholarPubMed
Prusad, U., Sagar, P., Shahul Hameed, O. (1970) Choanal polyp. Journal of Laryngology and Otology 84: 951–954.CrossRefGoogle Scholar
Rothlield, R. E., de Vries, E. J., Rueger, R. G. (1991) Isolated sphenoid sinus disease. Head and Neck 13: 208–212.CrossRefGoogle Scholar
Sethi, D. 5. (1998) Isolated sphenoid lesions – diagnosis and management. Otolaryngology – Head and Neck Surgery (in press).Google Scholar
Waitz, G., Wigand, M. E. (1992) Results of endoscopic sinus surgery for the treatment of inverted papillomas. Laryngoscope 102: 917–922.CrossRefGoogle ScholarPubMed
Weissman, J. L., Tabor, E. K., Curtin, H. D. (1991) Sphenochoanal polyps: Evaluation with CT and MR imaging. Radiology 178: 145–148.CrossRefGoogle ScholarPubMed
Wyllie, J. W., Kern, E. B., Djaliian, M. (1983) Isolated sphenoid sinus lesions. Laryngoscope 83: 1252–1265.CrossRefGoogle Scholar