Isolated sphenoid inflammatory diseases

Authors

  • Manal S. Alali Department of Otolaryngology, King Fahad Specialist Hospital, Dammam, MOH, Saudi Arabia
  • Abdulrahman Al Khatib Department of Otolaryngology, King Fahad Specialist Hospital, Dammam, MOH, Saudi Arabia
  • Ghaleb Alazzeh Department of Otolaryngology, King Fahad Specialist Hospital, Dammam, MOH, Saudi Arabia
  • Ali H. AlMomen Department of Otolaryngology, King Fahad Specialist Hospital, Dammam, MOH, Saudi Arabia

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20183688

Keywords:

Sphenoid sinus, Bacterial sinusitis, Fungal sinusitis, Fungal ball, Mucocele

Abstract

Background: Isolated sphenoid inflammatory disease is a rare clinical condition among patients with paranasal sinus disease, reported incidence ranged between 1-3%. The most common symptoms of isolated sphenoid inflammatory lesions are headache, ophtalmological and nasal symptoms. Delayed diagnosis may occur due to its nonspecific symptoms. The disease requires appropriate and good imaging technique for diagnosis. The objective of the study was to discuss different pathologies of isolated sphenoid inflammatory lesions.

Methods: From 2008 to 2017, we performed surgery on 27 patients with isolated sphenoid inflammatory diseases. The presenting signs and symptoms, radiological studies, operative findings, and clinical outcomes were retrospectively reviewed and analyzed.  

Results: 27 cases were identified at tertiary hospital of King Fahad Specialist Hospital Dammam. 12 bacterial sphenoid sinusitis, 4 allergic fungal sinusitis, 4 fungal balls, 2 invasive fungal sinusitis, 3 pediatric (2 sphenoid sinusitis and 1 allergic fungal sinusitis), 1 mucocele and 1 mycopyocele were noticed.

Conclusions: Isolated sphenoid inflammatory disease is rare, with comprehensive history taking, complete physical examination, appropriate endoscopic examination and advanced imaging studies will give appropriate clinical diagnosis. Histopathologyand microbiology is important for definite diagnosis.

References

Lawson W, Reino AJ. Isolated sphenoid sinus disease: an analysis of 132 cases. Laryngoscope. 1997;107(12):1590-5.

Nour YA, Al-Madani A, El-Daly A, Gaafar A. Isolated sphenoid sinus pathology: Spectrum of diagnostic and treatment modalities. AurisNasus Larynx. 2008;35(4):500–8.

Sethi DS. Isolated sphenoid lesions: diagnosis and management. Otolaryngol Head Neck Surg 1999;120:73036.

Rice DH, Schaefer SD, Anatomy of the Paranasal Sinuses. In: Rice DH, Schaefer SD, editors. Endoscopic Paranasal Sinus Surgery. Lippincott Williams & Wilkins. 3rd edn. 2004.

Van Cauwenberge P, Sys L, De Belder T, et al. Anatomy and physiology of the nose and the paranasal sinuses. Immunol Allergy Clin North Am. 2004;24(1):1–17.

Friedman A, Batra PS, Fakhri S, Citardi MJ, Lanza DC. Isolated sphenoid sinus disease: etiology and management. Otolaryngol Head Neck Surg. 2005;133(4):544–50.

Lew D, Southwick FS, Montgomery WW, Weber AL, Baker AS. Sphenoid sinusitis. A review of 30 cases. N Eng J Med. 1983;309(19):1149–54.

Friedman A, Batra PS, Fakhri S, Citardi MJ, Lanza DC. Isolated sphenoid sinus disease: etiology and management. Otolaryngol Head Neck Surg. 2005;133(4):544–50.

Socher JA, Cassano M, Filheiro CA, Cassano P, Felippu A. Diagnosis and treatment of isolated sphenoid sinus disease: a review of 109 cases. ActaOtolaryngol. 2008;128(9):1004–10.

Brook I. Bacteriology of acute and chronic sphenoid sinusitis. Ann Otol Rhinol Laryngol. 2002;111(11):1002–4.

Ruoppi P, Seppä J, Pukkila M, Nuutinen J. Isolated sphenoid sinus diseases: report of 39 cases. Arch Otolaryngol Head Neck Surg. 2000;126(6):777-81.

Bent JP 3rd, Kuhn FA. Diagnosis of allergic fungal sinusitis. Otolaryngol Head Neck Surg. 1994;111(5):580–8.

Illing EA, Dunlap Q, Woodworth BA. Outcomes of pressure-induced cranial neuropathies from allergic fungal rhinosinusitis. Otolaryngol Head Neck Surg. 2015;152(3):541–5.

Aribandi M, McCoy VA, Bazan C 3rd. Imaging features of invasive and noninvasive fungal sinusitis: a review. Radiographics. 2007;27(5):1283–1296.

Pagella F, Pusateri A, Matti E, Giourgos G, Cavanna C, De Bernardi F, Bignami M, Castelnuovo P (2011) Sphenoid sinus fungus ball: our experience. Am J Rhinol Allergy 25:276–280.

Soon SR, Lim CM, Singh H, Sethi DS. Sphenoid sinus mucocele: 10 cases and literature review. J Laryngol Otol. 2010;124:44–7.

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Published

2018-08-25

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Original Research Articles