J Rhinol.  2004 Nov;11(1, 2):35-39.

Endoscopic Diagnosis and Treatment of Isolated Sphenoid Sinus Lesions

• Lee KC

Abstract

Isolated sphenoid sinus disease is a rare entity. Because of its close vicinity to important and vulnerable structures of the skull base, early diagnosis and treatments are needed. We aimed to characterize the clinical features of isolated sphenoid sinus lesions and to assess the outcome of endoscopic sphenoid sinus surgery. We reviewed the records of patients retrospectively from July 1994 to May 2004. 17 cases with disease of the isolated sphenoid sinus that has undergone endoscopic sinus surgery were studied. The pathology spectrum included 7 cases of isolated chronic sphenoid sinusitis, 4 fungal sinusitis, 2 mucoceles, 1 inverted papilloma, 3 malignant tumors. Except 3 cases of malignant tumors, 14 cases were cured by endoscopic sinus surgery without complication. Diagnostic nasal endoscopy procedures and imaging techniques are of great value for an early and precise diagnosis. Endoscopic sphenoid sinus surgery is safe and effective for treating isolated sphenoid sinus lesions.

Keyword

Sphenoid sinus; Endoscopy

MeSH Terms

Diagnosis*
Early Diagnosis
Endoscopy
Humans
Mucocele
Papilloma, Inverted
Pathology
Retrospective Studies
Sinusitis
Skull Base
Sphenoid Sinus*
Sphenoid Sinusitis