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Mononostril Endoscopic Approach for Bilateral Sphenoid Sinus Lesions.
Dong Hoon Lee1, Jae-Ho Jeong2, Sang Chul Lim1
1Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Hwasun Hospital.
The Journal of Craniofacial Surgery
|September 20, 2022
Summary
A mononostril endoscopic approach for bilateral sphenoid lesions is a safe and effective minimally invasive surgical technique. This method demonstrated no recurrence, highlighting its feasibility for treating complex sinus conditions.
Area of Science:
- Otolaryngology
- Endoscopic Sinus Surgery
Background:
- Bilateral sphenoid sinus lesions present surgical challenges.
- A mononostril endoscopic approach offers a minimally invasive alternative.
Purpose of the Study:
- To introduce a mononostril endoscopic surgical method for bilateral sphenoid sinus lesions.
- To evaluate the treatment outcomes of this surgical technique.
Main Methods:
- Retrospective analysis of 16 patients undergoing mononostril endoscopic surgery for bilateral sphenoid lesions (2018-2022).
- Procedures performed under general or local anesthesia.
- Transnasal and transethmoidal approaches utilized.
Main Results:
- Fungal ball and sinusitis were the most common bilateral sphenoid sinus lesions.
- Sphenoid sinus opening size was maintained post-surgery in most patients.
- No recurrence of sphenoid lesions was observed.
Conclusions:
- The mononostril endoscopic approach is a feasible surgical technique for bilateral sphenoid lesions.
- This method is safe, effective, and minimally invasive.
- Demonstrates successful outcomes with no recurrence.
