Abstract
Eskişehir Yunus Emre Devlet Hastanesi KBB
Kliniği’nde izole sfenoid sinüs hastalığı için endoskopik sfenoid sinüs
cerrahisi yapılan hastaların klinik özelliklerini ve tedavi stratejilerini
paylaşıp yaklaşım önerilerinde bulunmak. İzole sfenoid sinüs patolojisi için
endoskopik sfenoid sinüs cerrahisi yapılan 7 hastanın klinik özellikleri, fizik
muayeneleri, radyolojik bulguları ve tedavi yaklaşımları retrospektif olarak
incelendi. Ocak 2015 ve Ocak 2016 arasında Eskişehir Yunus Emre Devlet
Hastanesi KBB Kliniği’nde 7 hasta izole sfenoid sinüs hastalığı için tedavi
edildi. Bu hastaların 3 tanesinde fungal enfeksiyon, 2 tanesinde sfenokoanal
polip ve 2 tanesinde mukosel mevcuttu ve tüm hastalar endoskopik sfenoidotomi tekniği
ile tedavi edildi. İzole sfenoid sinüs hastalıkları klinik pratikte nadir
karşılaşılan bir klinik antitedir. Hastalığın tanısı; hikaye, endoskopik
muayene ve bilgisayarlı tomografi bulguları ile konulur. Endoskopik
sfenoidotomi günümüzde bu patolojiler için altın standart olarak kabul gören
güvenli ve efektif bir tedavi seçeneğidir.
Keywords
References
- 1. Van Alyea OE. Sphenoid sinus: anatomic study, with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Arch Otolaryngol. 1941;34:225-253.
- 2. Lawson W, Reino AJ: Isolated sphenoid sinus disease: an analysis of 132 cases. Laryngoscope. 1997;107(12 pt 1):1590-1595.
- 3. Nour YA, Al-Madani A, El-Daly A, Gaafar A. Isolated sphenoid sinus pathology: Spectrum of diagnostic and treatment modalities. Auris Nasus Larynx. 2008;35:500-508.
- 4. Wang ZM, Kanoh N, Dai CF, Kutler DI, Xu R, Chi FL, et al: Isolated sphenoid sinus disease: an analysis of 122 cases. Ann Otol Rhinol Laryngol. 2002;111:323-327.
- 5. Goldman A. Complications of sphenoid sinusitis. Oper Techn Otolaryngol. 2003;14:216-218.
- 6. Ng YH, Sethi DS: Isolated sphenoid sinus disease: differential diagnosis and management. Curr Opin Otolaryngol Head Neck Surg. 2011; 19:16-20.
- 7. Grillone GA, Kasznica P. Isolated sphenoid sinus disease. Otol Clin N Am. 2004;37:435-451.
- 8. Cakmak O, Shohet MR, Kern EB. Isolated sphenoid sinus lesions. Am J Rhinol. 2000; 14:13-19.
- 9. Ghosh R, Dubal PM, Chin OY, Patel TD, Echanique KA, Baredes S, et al. Sphenoid sinus malignancies: a population - based comprehensive analysis. Int Forum Allergy Rhinol 2016; 19 [Epub ahead of print].
- 10. Ruoppi P, Seppa J, Pukkila M, Nuutinen J. Isolated sphenoid sinus diseases: report of 39 cases. Arch Otolaryngol Head Neck Surg. 2000; 126:777-781.
- 11. Gibbons MD, Sillers MJ. Minimally invasive approaches to the sphenoid sinus. Otolaryngol Head Neck Surg. 2002;126:635-641.
- 12. Sethi DS. Isolated sphenoid lesions: diagnosis and managemet. Otolaryngol Head Neck Surg. 1999;120:730-736.
- 13. Branstetter IV BF, Weismann JL. Role of MR and CT in the paranasal sinuses. Otolaryngol Clin North Am. 2005;38:1279-1299.
- 14. Martin TJ, Smith TL, Smith MM, Loehrl TA. Evaluation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg. 2002;128:1413-1419.
Abstract
To investigate the clinical
characteristics of the patients who
underwent endoscopic sphenoid sinus surgery for isolated sphenoid sinus disease
and to evaluate the management skills of ENT Department of Eskisehir Yunus Emre State Hospital in
isolated sphenoid pathologies. 7 patients who underwent endoscopic sphenoid
sinus surgery for isolated sphenoid sinus disease are included in the study.
Clinical characteristics and main symptoms of patients, physical examination,
radiologic findings and management aproaches were investigated retrospectively. We identified 7 cases of isolated
sphenoid sinus disease between January 2015 and January 2016 in ENT Department
of Eskisehir Yunus Emre State Hospital. 3 cases with fungal infection of
sphenoid sinus, 2 cases with with sphenochoanal polyp and 2 cases with mucocele
were treated by endoscopic sphenoidotomy. Isolated sphenoid sinus pathologies are
rare clinical entities. Diagnosis is based on the history, endoscopic examination and computed
tomography findings. Endoscopic sphenoidotomy is a safe and easy treatment option
and represented the gold standard for
this disease at the present time.
Keywords
References
- 1. Van Alyea OE. Sphenoid sinus: anatomic study, with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Arch Otolaryngol. 1941;34:225-253.
- 2. Lawson W, Reino AJ: Isolated sphenoid sinus disease: an analysis of 132 cases. Laryngoscope. 1997;107(12 pt 1):1590-1595.
- 3. Nour YA, Al-Madani A, El-Daly A, Gaafar A. Isolated sphenoid sinus pathology: Spectrum of diagnostic and treatment modalities. Auris Nasus Larynx. 2008;35:500-508.
- 4. Wang ZM, Kanoh N, Dai CF, Kutler DI, Xu R, Chi FL, et al: Isolated sphenoid sinus disease: an analysis of 122 cases. Ann Otol Rhinol Laryngol. 2002;111:323-327.
- 5. Goldman A. Complications of sphenoid sinusitis. Oper Techn Otolaryngol. 2003;14:216-218.
- 6. Ng YH, Sethi DS: Isolated sphenoid sinus disease: differential diagnosis and management. Curr Opin Otolaryngol Head Neck Surg. 2011; 19:16-20.
- 7. Grillone GA, Kasznica P. Isolated sphenoid sinus disease. Otol Clin N Am. 2004;37:435-451.
- 8. Cakmak O, Shohet MR, Kern EB. Isolated sphenoid sinus lesions. Am J Rhinol. 2000; 14:13-19.
- 9. Ghosh R, Dubal PM, Chin OY, Patel TD, Echanique KA, Baredes S, et al. Sphenoid sinus malignancies: a population - based comprehensive analysis. Int Forum Allergy Rhinol 2016; 19 [Epub ahead of print].
- 10. Ruoppi P, Seppa J, Pukkila M, Nuutinen J. Isolated sphenoid sinus diseases: report of 39 cases. Arch Otolaryngol Head Neck Surg. 2000; 126:777-781.
- 11. Gibbons MD, Sillers MJ. Minimally invasive approaches to the sphenoid sinus. Otolaryngol Head Neck Surg. 2002;126:635-641.
- 12. Sethi DS. Isolated sphenoid lesions: diagnosis and managemet. Otolaryngol Head Neck Surg. 1999;120:730-736.
- 13. Branstetter IV BF, Weismann JL. Role of MR and CT in the paranasal sinuses. Otolaryngol Clin North Am. 2005;38:1279-1299.
- 14. Martin TJ, Smith TL, Smith MM, Loehrl TA. Evaluation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg. 2002;128:1413-1419.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | OLGU SUNUMU |
| Authors | |
| Publication Date | January 31, 2018 |
| Published in Issue | Year 2018 Volume: 40 Issue: 1 |