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Chronic sphenoid rhinosinusitis: management challenge.

Natamon Charakorn1, Kornkiat Snidvongs1

  • 1Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

Journal of Asthma and Allergy
|November 24, 2016
PubMed
Summary

Chronic sphenoid rhinosinusitis, an isolated sinus inflammation, presents unique symptoms like headaches and vision changes. Diagnosis requires advanced imaging, and endoscopic surgery is often the recommended treatment.

Keywords:
chronicfungal rhinosinusitismucocelerhinosinusitissphenoid sinussphenoid sinusitis

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Radiology

Background:

  • Chronic sphenoid rhinosinusitis involves inflammation of the sphenoid sinus, persisting over 12 weeks.
  • Distinct from other rhinosinusitis types, it presents with headaches, visual loss, or diplopia, with or without nasal symptoms.

Approach:

  • Review of sphenoid sinus anatomy and its clinical relevance.
  • Analysis of diagnostic imaging techniques, including computed tomography (CT).
  • Comprehensive evaluation of endoscopic transnasal sphenoidotomy surgical techniques.

Key Points:

  • Sphenoid sinusitis requires specialized knowledge for accurate diagnosis.
  • Nasal endoscopic examination and CT scans are crucial for diagnosis.
  • Endoscopic transnasal sphenoidotomy is a primary surgical intervention.

Conclusions:

  • This review addresses the lack of recent updates on chronic sphenoid rhinosinusitis.
  • It provides insights into anatomy, clinical presentation, imaging, and surgical management.
  • Emphasizes the importance of advanced imaging and surgical expertise for effective treatment.