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Isolated Sphenoid Sinus Disease

    Authors

    1 Department оf Anatоmy , Cоllege оf Medicine, University оf Ninevah, Mоsul , Iraq.

    2 Al Karama Teaching Hospital, Baghdad, Iraq.

    3 Al-Shaheed Ghazi Al-Hariri for Surgical Specialties Teaching Hospital, Medical City, Baghdad, Iraq.

,

Document Type : Review Article

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

References
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Iraqi Postgraduate Medical Journal
Volume 22, Issue 3
July 2023
Page 347-354
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