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Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study

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Sinolith: a rare isolated sphenoid sinus lesion.

Cengiz Özcan¹, Yusuf Vaysoğlu, Kemal Görür

¹Department of Otorhinolaryngology, School of Medicine, Mersin University, Mersin, Turkey.

The Journal of Craniofacial Surgery

|March 26, 2013

Summary

Sinolith, a rare sinus calculus, can cause headaches. This case highlights an isolated sphenoid sinus sinolith, emphasizing endoscopic surgery for effective treatment.

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Area of Science:

Otolaryngology
Rhinology
Neurosurgery

Background:

Sinoliths (sinus calculi) are rare formations within paranasal sinuses, with unknown pathogenesis.
Predisposing factors include chronic infection, foreign bodies, poor sinus drainage, and fungal infections.
While common in maxillary and frontal sinuses, isolated sphenoid sinus lesions are infrequent, often presenting as inflammatory conditions.

Observation:

Headache is the primary symptom of sphenoid sinus lesions, potentially being the sole manifestation.
Sinoliths are most frequently found in the maxillary, followed by frontal and ethmoid sinuses.
Publications on sphenoid sinus sinoliths are exceptionally rare, with only one prior English-language report.

Findings:

This report details a unique case of an isolated sinolith within the sphenoid sinus.
The study underscores the rarity of sphenoid sinus sinoliths in medical literature.
Surgical removal is the definitive treatment for sinoliths.

Implications:

Endoscopic transnasal surgery is recommended as the primary surgical approach for isolated sphenoid sinus lesions.
This case contributes valuable data on the diagnosis and management of rare sinolith presentations.
Early diagnosis and surgical intervention are crucial for managing sphenoid sinus sinoliths and alleviating symptoms like headache.