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Updated: Sep 7, 2025
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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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Solitary Sphenoid Sinus Lesion Presenting as Chronic Headache
Seo Bin Kim1, Jooyeon Kim, Jae Hwan Kwon
1Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, South Korea.
The Journal of Craniofacial Surgery
|June 21, 2022
Summary
Endoscopic sinus surgery for solitary sphenoid lesions significantly improved chronic headaches. This surgical intervention offers relief for headaches caused by these rare lesions when medical treatments fail.
Area of Science:
- Otolaryngology
- Neurosurgery
- Medical Imaging
Background:
- Headaches are common, with sinusitis being a frequent cause.
- Solitary sphenoid lesions are rare but can induce chronic or acute headaches.
- Distinguishing headache etiologies can be challenging.
Purpose of the Study:
- To investigate the efficacy of endoscopic sinus surgery (ESS) in alleviating headache symptoms in patients with solitary sphenoid lesions.
- To determine the correlation between sphenoid lesions, headache characteristics, and pathological findings.
Main Methods:
- Retrospective chart review of 16 patients undergoing ESS for chronic headaches due to solitary sphenoid lesions (2012-2017).
- Pre- and post-operative headache evaluation using the Visual Analog Scale (VAS).
- Analysis of pathological outcomes from surgical specimens.
Main Results:
- Significant reduction in headache severity post-ESS (mean VAS score decreased from 7.27 to 3.80).
- Pathological findings included chronic inflammation, nasal polyps, inverted papilloma, and fungal infections.
- No significant correlation found between headache, lesion site, and specific pathology.
Conclusions:
- Solitary sphenoid sinus lesions are a potential cause of intractable headaches.
- Endoscopic sinus surgery can effectively improve headaches associated with solitary sphenoid lesions when medical management is insufficient.
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