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Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus: Retrospective Study of 46 Cases

Introduction Isolated disease of the sphenoid is rare and has often been overlooked due to its remote location and difficult access. Objective A retrospective study of the main causes of isolated sphenoid sinus diseases with discussion of the most appropriate methods of diagnosis and treatment. Meth...

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Autores principales: Marcolini, Thomas Ribeiro, Safraider, Maryane Cristine, Socher, Jan Alessandro, Lucena, Guilherme Olinto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Publicações Ltda 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4399171/
https://www.ncbi.nlm.nih.gov/pubmed/25992167
http://dx.doi.org/10.1055/s-0034-1397337
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author Marcolini, Thomas Ribeiro
Safraider, Maryane Cristine
Socher, Jan Alessandro
Lucena, Guilherme Olinto
author_facet Marcolini, Thomas Ribeiro
Safraider, Maryane Cristine
Socher, Jan Alessandro
Lucena, Guilherme Olinto
author_sort Marcolini, Thomas Ribeiro
collection PubMed
description Introduction Isolated disease of the sphenoid is rare and has often been overlooked due to its remote location and difficult access. Objective A retrospective study of the main causes of isolated sphenoid sinus diseases with discussion of the most appropriate methods of diagnosis and treatment. Methods A total of 46 cases of isolated sphenoid disease treated between January 2008 and December 2013 were evaluated by objective ear, nose, and throat examination and video endoscopy, computed tomography of the paranasal sinuses, and, in some cases, magnetic resonance imaging. In each case, we decided between drug and/or endoscopic treatment. Results We identified 12 cases of isolated sphenoiditis (26.1%), 3 cases of fungal sphenoiditis (6.5%), 3 cases of sphenochoanal polyps (6.5%), 22 cases of mucocele (47.8%), 2 cases of cerebrospinal fluid leak (4.3%), and 1 case each of meningoencephalocele (2.1%), inverted papilloma (2.1%), fibrous dysplasia (2.1%), and squamous cell carcinoma (2.1%). Conclusion A prevalence of inflammatory and infectious diseases was found, and endoscopic surgery for the sphenoid sinus approach is effective in treating various diseases of the isolated sphenoid, whether complicated or not.
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spelling pubmed-43991712015-05-19 Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus: Retrospective Study of 46 Cases Marcolini, Thomas Ribeiro Safraider, Maryane Cristine Socher, Jan Alessandro Lucena, Guilherme Olinto Int Arch Otorhinolaryngol Article Introduction Isolated disease of the sphenoid is rare and has often been overlooked due to its remote location and difficult access. Objective A retrospective study of the main causes of isolated sphenoid sinus diseases with discussion of the most appropriate methods of diagnosis and treatment. Methods A total of 46 cases of isolated sphenoid disease treated between January 2008 and December 2013 were evaluated by objective ear, nose, and throat examination and video endoscopy, computed tomography of the paranasal sinuses, and, in some cases, magnetic resonance imaging. In each case, we decided between drug and/or endoscopic treatment. Results We identified 12 cases of isolated sphenoiditis (26.1%), 3 cases of fungal sphenoiditis (6.5%), 3 cases of sphenochoanal polyps (6.5%), 22 cases of mucocele (47.8%), 2 cases of cerebrospinal fluid leak (4.3%), and 1 case each of meningoencephalocele (2.1%), inverted papilloma (2.1%), fibrous dysplasia (2.1%), and squamous cell carcinoma (2.1%). Conclusion A prevalence of inflammatory and infectious diseases was found, and endoscopic surgery for the sphenoid sinus approach is effective in treating various diseases of the isolated sphenoid, whether complicated or not. Thieme Publicações Ltda 2015-01-28 2015-04 /pmc/articles/PMC4399171/ /pubmed/25992167 http://dx.doi.org/10.1055/s-0034-1397337 Text en © Thieme Medical Publishers
spellingShingle Article
Marcolini, Thomas Ribeiro
Safraider, Maryane Cristine
Socher, Jan Alessandro
Lucena, Guilherme Olinto
Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus: Retrospective Study of 46 Cases
title Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus: Retrospective Study of 46 Cases
title_full Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus: Retrospective Study of 46 Cases
title_fullStr Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus: Retrospective Study of 46 Cases
title_full_unstemmed Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus: Retrospective Study of 46 Cases
title_short Differential Diagnosis and Treatment of Isolated Pathologies of the Sphenoid Sinus: Retrospective Study of 46 Cases
title_sort differential diagnosis and treatment of isolated pathologies of the sphenoid sinus: retrospective study of 46 cases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4399171/
https://www.ncbi.nlm.nih.gov/pubmed/25992167
http://dx.doi.org/10.1055/s-0034-1397337
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