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Current management of isolated sphenoiditis.

M Güven Güvenç1, Asim Kaytaz, Gül Ozbilen Acar

  • 1Department of Otorhinolaryngology, Medical Faculty, Istanbul Bilim University, Istanbul, Turkey. guvencmg@yahoo.com

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|December 5, 2008
PubMed
Summary

Isolated sphenoiditis (IS), a rare sinus infection, often presents with headache or vision problems. Early diagnosis and treatment, frequently involving surgery like endoscopic sinusotomy, are crucial for recovery and preventing complications.

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Area of Science:

  • Otolaryngology
  • Rhinosinusitis Research

Background:

  • Isolated sphenoiditis (IS) is an uncommon condition with potential for severe complications.
  • Symptoms can be non-specific, including headache and visual disturbances.

Purpose of the Study:

  • To review clinical records of patients with isolated sphenoiditis.
  • To analyze presenting symptoms, diagnostic methods, and treatment outcomes.

Main Methods:

  • Retrospective review of ten IS patient records.
  • Diagnosis confirmed via history, nasal endoscopy, and advanced imaging (CT/MRI).
  • Evaluation of medical and surgical treatment interventions.

Main Results:

  • Headache and diplopia were the most common presenting symptoms.
  • Fungus balls were identified in two patients.
  • Nine out of ten patients underwent endoscopic sinusotomy with successful outcomes, except for one with persistent diplopia.

Conclusions:

  • IS can manifest with significant symptoms like headache and orbital issues.
  • Prompt diagnosis and treatment, often surgical (endoscopic transnasal sphenoidotomy), are vital for recovery and avoiding complications.
  • Medical management alone is often insufficient; surgery is frequently indicated, especially for vision-threatening presentations.