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Cranial Bones: Lateral View01:27

Cranial Bones: Lateral View

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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
The temporal bone forms the lower lateral side of the skull. The temporal bone is subdivided into several regions. The flattened upper portion is the squamous portion of the temporal bone. Below this area and projecting anteriorly is the zygomatic process of the temporal bone, which forms the posterior portion of the zygomatic arch. Posteriorly is the mastoid portion of the temporal bone. Projecting...
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Nasal Bone Fracture (NBF): A Retrospective Study on Epidemiology and Treatment Outcomes in the Omani Population.

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Rare Isolated Sphenoid Sinus Lesions: A Multi-case Study.

Bassel Adra1, Hamdoon Al Namani2, Ajay Kumar Gona3

  • 1Otolaryngology-Head and Neck Surgery, Aintree University Hospital, Liverpool, GBR.

Cureus
|December 13, 2024
PubMed
Summary
This summary is machine-generated.

Sphenoid sinus lesions, though rare, require prompt management due to potential malignancy. Endoscopic sinus surgery (ESS) offers effective treatment, but long-term surveillance is crucial for inverted papillomas, especially those with malignant transformation potential.

Keywords:
endoscopic sinus surgeryhamartomainverted papillomasinus lesionsphenoid sinussquamous cell carcinoma

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Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Pathology

Background:

  • Sphenoid sinus lesions are uncommon but pose diagnostic and management challenges.
  • Their anatomical proximity to critical neurovascular structures necessitates careful handling.

Purpose of the Study:

  • To detail clinical experiences in managing sphenoid sinus lesions.
  • To highlight diagnostic difficulties and surgical outcomes at Al Nahdha Hospital, Oman.

Main Methods:

  • Retrospective analysis of six cases of sphenoid sinus lesions.
  • Utilized endoscopic sinus surgery (ESS) for treatment.
  • Employed contrast-enhanced CT and MRI for diagnosis, with histopathology for confirmation.

Main Results:

  • Four cases of inverted papilloma, one with squamous cell carcinoma (SCC) transformation.
  • One case each of sphenoid angiofibroma and sphenoid hamartoma.
  • All patients treated with ESS experienced no major complications; long-term surveillance advised.

Conclusions:

  • Early intervention for sphenoid sinus lesions is vital due to malignant transformation risk.
  • High-resolution imaging and ESS are effective treatment modalities.
  • Prolonged follow-up is essential for inverted papillomas, particularly those with malignant potential.