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Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases

INTRODUCTION: Isolated sphenoid sinus inflammatory diseases (ISSIDs) are responsible for about 75% of isolated sphenoid sinus opacifications. Computer tomography (CT) and magnetic resonance imaging (MRI) should be used in a complementary manner for the assessment of ISSIDs. This evaluation sheds som...

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Autores principales: Fadda, Gian-Luca, D’Eramo, Anna, Grosso, Alessandro, Galizia, Andrea, Cavallo, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mashhad University of Medical Sciences 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085922/
https://www.ncbi.nlm.nih.gov/pubmed/32219076
http://dx.doi.org/10.22038/ijorl.2019.39416.2304
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author Fadda, Gian-Luca
D’Eramo, Anna
Grosso, Alessandro
Galizia, Andrea
Cavallo, Giovanni
author_facet Fadda, Gian-Luca
D’Eramo, Anna
Grosso, Alessandro
Galizia, Andrea
Cavallo, Giovanni
author_sort Fadda, Gian-Luca
collection PubMed
description INTRODUCTION: Isolated sphenoid sinus inflammatory diseases (ISSIDs) are responsible for about 75% of isolated sphenoid sinus opacifications. Computer tomography (CT) and magnetic resonance imaging (MRI) should be used in a complementary manner for the assessment of ISSIDs. This evaluation sheds some light on the extent of disease and intracranial and intra-orbital involvement. MATERIALS AND METHODS: The current study aimed to evaluate the medication histories of 14 patients who underwent endoscopic sinus surgery (ESS) for ISSIDs within 2015-2018. This assessment was carried out to analyze the presenting symptoms, diagnostic work-up, additional therapies, and complications. Moreover, it can help us compare our data with pertinent literature. RESULTS: As evidenced by the obtained results, ISSID lesions included bacterial sphenoiditis (42.9%), fungus ball (21.4%), invasive fungal sphenoiditis (14.3%), mucocele (14.3%), and retention cysts (7.1%). In addition, headache was found to be the major complaint, followed by nasal symptoms. Diplopia, and signs and symptoms of the involvement of other cranial nerves were less frequent. All patients underwent endoscopic transnasal sphenoidectomy. The overall survival rate was reported as 92.9% (13/14), and all patients with cranial nerve palsies demonstrated complete clinical remission. CONCLUSION: Both the review of related literature and our clinical cases were indicative of the dangerous consequences of ISSIDs. Their varied and unspecific presentation and the limited reliability of nasal endoscopy required the cooperation of ENT (ear, nose, and throat) team with other specialists to make an accurate diagnosis and decide on the most appropriate therapeutic choices. If the signs of intracranial complications were detected, surgery should be promptly performed to maximize the chances of recovery.
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spelling pubmed-70859222020-03-26 Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases Fadda, Gian-Luca D’Eramo, Anna Grosso, Alessandro Galizia, Andrea Cavallo, Giovanni Iran J Otorhinolaryngol Original Article INTRODUCTION: Isolated sphenoid sinus inflammatory diseases (ISSIDs) are responsible for about 75% of isolated sphenoid sinus opacifications. Computer tomography (CT) and magnetic resonance imaging (MRI) should be used in a complementary manner for the assessment of ISSIDs. This evaluation sheds some light on the extent of disease and intracranial and intra-orbital involvement. MATERIALS AND METHODS: The current study aimed to evaluate the medication histories of 14 patients who underwent endoscopic sinus surgery (ESS) for ISSIDs within 2015-2018. This assessment was carried out to analyze the presenting symptoms, diagnostic work-up, additional therapies, and complications. Moreover, it can help us compare our data with pertinent literature. RESULTS: As evidenced by the obtained results, ISSID lesions included bacterial sphenoiditis (42.9%), fungus ball (21.4%), invasive fungal sphenoiditis (14.3%), mucocele (14.3%), and retention cysts (7.1%). In addition, headache was found to be the major complaint, followed by nasal symptoms. Diplopia, and signs and symptoms of the involvement of other cranial nerves were less frequent. All patients underwent endoscopic transnasal sphenoidectomy. The overall survival rate was reported as 92.9% (13/14), and all patients with cranial nerve palsies demonstrated complete clinical remission. CONCLUSION: Both the review of related literature and our clinical cases were indicative of the dangerous consequences of ISSIDs. Their varied and unspecific presentation and the limited reliability of nasal endoscopy required the cooperation of ENT (ear, nose, and throat) team with other specialists to make an accurate diagnosis and decide on the most appropriate therapeutic choices. If the signs of intracranial complications were detected, surgery should be promptly performed to maximize the chances of recovery. Mashhad University of Medical Sciences 2020-03 /pmc/articles/PMC7085922/ /pubmed/32219076 http://dx.doi.org/10.22038/ijorl.2019.39416.2304 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Fadda, Gian-Luca
D’Eramo, Anna
Grosso, Alessandro
Galizia, Andrea
Cavallo, Giovanni
Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases
title Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases
title_full Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases
title_fullStr Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases
title_full_unstemmed Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases
title_short Isolated Sphenoid Sinus Inflammatory Disease-A Report of 14 Cases
title_sort isolated sphenoid sinus inflammatory disease-a report of 14 cases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085922/
https://www.ncbi.nlm.nih.gov/pubmed/32219076
http://dx.doi.org/10.22038/ijorl.2019.39416.2304
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