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Modified sphenoidotomy for isolated sphenoid sinus disease: A series of 117 cases
Hong-Gang Duan1, Fang Ji2, Hui Yuan1
1Department of Otolaryngology, College of Medicine, Zhejiang University, Hangzhou, China.
Background:
The atresia rate of sphenoid ostium after endoscopic sphenoidotomy for isolated sphenoid disease is 9.4%-10.2%.
Aims:
To reduce sphenoid sinus ostium atresia rate after sphenoidotomy surgery.
Materials And Methods:
The data of patients with isolated sphenoid sinus disease at our hospital between 2015 and 2022 were retrospectively analyzed. The age, gender, disease course, pathology, postoperative follow-up time, anatomy data of sphenoid sinus and postoperative sinus ostium atresia rate were compared between the two groups of patients with traditional sphenoidotomy and modified sphenoidotomy.
Results:
A total of 117 patients with isolated sphenoid sinus disease underwent endoscopic sphenoidotomy. There were 76 cases in the traditional sphenoidotomy group, fungus ball in 59.2% of patients, the postoperative sinus ostium atresia rate was 14.5%. There were 41 cases in the modified sphenoidotomy group, fungus ball in 53.6% of patients, and 0 case of sinus ostium atresia. Statistical analysis showed significant differences in postoperative sinus ostium atresia rate. There was no significant difference in age, pathology, postoperative follow-up time, anatomy data of sphenoid, and other data.
Conclusions And Significance:
The modified endoscopic sphenoidotomy may reduce the rate of postoperative sinus ostium atresia.
