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Rhinology Sep 1997Fungi are more often than previously believed to be the causative organisms of paranasal sinusitis. Aspergillus, a fungus belonging to the Ascomycetes class, accounts... (Review)
Review
Fungi are more often than previously believed to be the causative organisms of paranasal sinusitis. Aspergillus, a fungus belonging to the Ascomycetes class, accounts for the majority of these infections, which affect not only debilitated patients but healthy people as well. There are two distinct clinical forms of Aspergillus sinusitis, invasive and non-invasive, and each of them is further divided in two subtypes. Isolated aspergillosis of the sphenoid sinus is a rare disease, which is usually misdiagnosed for a long time because of its varying symptomatology. In the present study, four cases of isolated sphenoid Aspergillus disease are described and the recent literature is reviewed. Physicians should be aware of this rare clinical entity, as in many cases early diagnosis and appropriate treatment provide the key to achieve favourable outcomes.
Topics: Adult; Aged; Aspergillosis; Combined Modality Therapy; Endoscopy; Female; Humans; Middle Aged; Sphenoid Sinusitis; Tomography, X-Ray Computed
PubMed: 9403946
DOI: No ID Found -
CMAJ : Canadian Medical Association... Aug 2021
Topics: Adolescent; Cavernous Sinus; Humans; Male; Sphenoid Sinusitis; Thrombosis
PubMed: 34400491
DOI: 10.1503/cmaj.201317-f -
Clinical Chemistry Feb 2012
Topics: Cerebrospinal Fluid Rhinorrhea; Electrophoresis; Humans; Male; Middle Aged; Nasal Cavity; Serum; Sphenoid Sinusitis; Transferrin
PubMed: 22287665
DOI: 10.1373/clinchem.2011.172700 -
European Archives of... Mar 2013The objective of this retrospective study is to present a large series of patients with sphenoid sinus fungus ball (SSFB) and describe clinical manifestations,...
The objective of this retrospective study is to present a large series of patients with sphenoid sinus fungus ball (SSFB) and describe clinical manifestations, diagnostic workup, surgical treatment, and eventual complications of this disease. We included patients operated on for this disease over a 14-year period. All patients benefited from mid-to-long-term follow-up. There were 28 patients (18 females, 10 males, mean age 64 years). Main symptoms were posterior rhinorrhea and headache. Less common symptoms were alteration of vision or ocular mobility and cacosmia. Preoperative diagnosis was based on nasal endoscopy and CT scanning. MRI was performed in case of suspicion of a tumor, an intraorbital or intracranial invasion. Treatment consisted in endoscopic transnasal or transethmoidal sphenoidotomy with removal of the fungus ball. Specimens were sent to pathology and mycology to confirm diagnosis. Postoperative complications consisted of two cases of epistaxis and two other cases of bacterial superinfection of the operated sphenoid cavity. No recurrence of the fungus ball was seen after a mean follow-up of 13 months. To conclude, SSFB is a relatively uncommon entity, usually due to Aspergillus infection. Although not invasive, if left untreated, it can lead to long-term serious complications. Preoperative nasal endoscopic examination and CT scan are the standard tools for diagnosis. Endoscopic sphenoidotomy with removal of the fungus ball is the current treatment because it has proven effective and has a low morbidity and recurrence rate.
Topics: Adult; Aged; Aged, 80 and over; Aspergillosis; Endoscopy; Female; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Retrospective Studies; Sphenoid Sinusitis; Treatment Outcome
PubMed: 22850907
DOI: 10.1007/s00405-012-2121-5 -
Vestnik Otorinolaringologii 2023This article presents an analytical review of scientific publications on the topic of surgical treatment of isolated lesions of the sphenoid sinus. The publications,... (Review)
Review
This article presents an analytical review of scientific publications on the topic of surgical treatment of isolated lesions of the sphenoid sinus. The publications, research data presented in the RSCI database, PubMed in the period 1985-2021 are analyzed. The selection of the material was carried out according to the keywords: sphenoid sinus, isolated sphenoiditis, phenotypes of sphenoiditis, endoscopic sphenotomy, relapses of sphenoiditis, sphenoid sinus, isolated sphenoiditis, phenotypes of sphenoiditis.
Topics: Humans; Sphenoid Sinus; Sphenoid Sinusitis; Endoscopy; Recurrence
PubMed: 37970773
DOI: 10.17116/otorino20238805169 -
Otolaryngology--head and Neck Surgery :... Jul 2001Anaerobic bacterial infections in chronic sinusitis are well described in literature. We present what is believed to be the first reported case of Clostridium...
Anaerobic bacterial infections in chronic sinusitis are well described in literature. We present what is believed to be the first reported case of Clostridium perfringens presenting as the causative pathogen in paranasal sinusitis. This patient presented with severe headaches and, with CT and MRI findings of unilateral sphenoid sinus opacification, with bone demineralization and intrasinus calcification. This patient responded to endoscopic debridement and long-term antibiotics without sequelae.
Topics: Anti-Bacterial Agents; Clostridium Infections; Clostridium perfringens; Combined Modality Therapy; Endoscopy; Female; Follow-Up Studies; Humans; Magnetic Resonance Imaging; Middle Aged; Sphenoid Sinusitis; Tomography, X-Ray Computed
PubMed: 11458224
DOI: 10.1067/mhn.2001.116782 -
Clinical Imaging Jan 2022Acute bacterial sinusitis may be complicated by orbital and intracranial involvement and by thrombophlebitis. Its spread across multiple anatomic compartments is...
Acute bacterial sinusitis may be complicated by orbital and intracranial involvement and by thrombophlebitis. Its spread across multiple anatomic compartments is facilitated by the interconnected venous anatomy of the head and neck and the virulence of the primary pathogen. We present a rare case of Streptococcus Intermedius (S. Intermedius) acute bacterial sinusitis complicated by extensive skull base involvement including cavernous sinuses and neck vein thrombophlebitis and thrombosis.
Topics: Humans; Sinusitis; Skull Base; Sphenoid Sinusitis; Streptococcus intermedius; Thrombophlebitis
PubMed: 34695722
DOI: 10.1016/j.clinimag.2021.09.006 -
Annales D'oto-laryngologie Et de... Jun 1998Isolated involvement of the sphenoid sinus is a relatively uncommon entity. We present a review of the most important series. Acute and chronic diseases are separated.... (Review)
Review
Isolated involvement of the sphenoid sinus is a relatively uncommon entity. We present a review of the most important series. Acute and chronic diseases are separated. Acute sphenoid sinusitis is a potentially catastrophic infectious disease. It is frequently initially misdiagnosed, and, due to the severe intracranial complications, a genuine medical and surgical treatment is recommended. Chronic sphenoid lesions may pose a problem of etiologic diagnosis. It may be difficult to differentiate between benign and malignant lesions. The most common presenting symptom is headache, followed by visual symptoms and cranial nerves palsies. Radiographically, computed tomography is the gold standard. Treatment includes antibiotic therapy and surgical drainage. This drainage is now done through an endoscopic approach.
Topics: Acute Disease; Anti-Bacterial Agents; Chronic Disease; Diagnosis, Differential; Endoscopy; Humans; Risk Factors; Sphenoid Sinusitis; Tomography, X-Ray Computed
PubMed: 9765712
DOI: No ID Found -
International Forum of Allergy &... 2011Chronic sphenoid rhinosinusitis (CSR) refractory to both medical management and 1 or more sphenoidotomies is a difficult entity to treat. In contrast to the surgical...
BACKGROUND
Chronic sphenoid rhinosinusitis (CSR) refractory to both medical management and 1 or more sphenoidotomies is a difficult entity to treat. In contrast to the surgical hierarchy that exists for the frontal sinus, there is no systematic approach for addressing persistent disease in the sphenoid. Sphenoid marsupialization has been advocated as a method of addressing recurrent sphenoid sinusitis.
OBJECTIVE
We present a new technique called the sphenoid drill-out, which we place between traditional sphenoidotomy and sphenoid marsupialization in the surgical hierarchy for management of CSR.
METHODS
We performed a retrospective review on all patients undergoing sphenoidotomy between 2005 and 2009. We studied demographics, procedure type, diagnoses, comorbidities, efficacy, revision rate, and endoscopic outcomes using Lund-Kennedy scores.
RESULTS
A total of 10 patients underwent sphenoid drill-out for CSR. Average follow up was 17 months. Patients had an average of 5 prior sinus surgeries with 2.6 prior sphenoidotomies. One patient required a revision drill-out procedure. The mean preoperative and postoperative Lund-Kennedy scores were 6.67 and 1.78, which was a statistically significant difference.
CONCLUSION
The sphenoid drill-out procedure is safe and effective for the management of recalcitrant CSR. It should be considered as an intermediate procedure between sphenoidotomy and sphenoid marsupialization.
Topics: Adult; Chronic Disease; Endoscopy; Female; Humans; Male; Middle Aged; Radiography, Interventional; Recurrence; Reoperation; Retrospective Studies; Rhinitis; Sphenoid Bone; Sphenoid Sinus; Sphenoid Sinusitis; Tomography, X-Ray Computed; Treatment Outcome
PubMed: 22287310
DOI: 10.1002/alr.20006 -
Clinical Imaging 2002Imaging is of paramount importance in early diagnosis of epidural abscess and its intracranial complications. Typical CT imaging features of an epidural abscess include... (Review)
Review
Imaging is of paramount importance in early diagnosis of epidural abscess and its intracranial complications. Typical CT imaging features of an epidural abscess include a hypodense lentiform extra-axial collection with rim enhancement. We present a case of epidural abscess that was hyperdense on CT scan due to the presence of associated epidural hematoma. The literature is reviewed regarding this unusual complication of epidural abscess.
Topics: Adult; Epidural Abscess; Hematoma, Epidural, Cranial; Humans; Magnetic Resonance Imaging; Male; Sphenoid Sinusitis; Tomography, X-Ray Computed
PubMed: 12427432
DOI: 10.1016/s0899-7071(02)00454-0