Functional endoscopic sinus surgery for isolated sphenoid sinus disease.
BACKGROUND
This article reviews 12 cases of isolated sphenoid sinus disease: chronic inflammatory sinusitis (7), mucoceles (2), aspergillus lesions (2), and isolated polyp (1).


METHODS
Criteria for diagnosis were based on clinical symptoms, nasal endoscopic evaluation, and computed tomography (CT). Magnetic resonance imaging was used only in cases of bone erosion and when patients presented with vision problems. All patients were treated by functional endoscopic sphenoidotomy. Any postoperative complications were noted.


CONCLUSIONS
The reported good results, on the basis of regression of functional symptoms and with nasal endoscopic and CT evaluation, suggest that intranasal sphenoidotomy under endoscopic control is a safe and effective method of treatment of nonmalignant isolated sphenoid disease. The mean follow-up is 26 months.
Department of Otolaryngology, Hopital intercommunal de Créteil, University Paris, Créteil, France.
L
L
Gilain
D
D
Aidan
A
A
Coste
R
R
Peynegre
D000328:Adult; D001228:Aspergillosis / Q000000981:diagnostic imaging / Q000601:surgery; D004322:Drainage; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009078:Mucocele / Q000000981:diagnostic imaging / Q000601:surgery; D009296:Nasal Cavity / Q000601:surgery; D009298:Nasal Polyps / Q000000981:diagnostic imaging / Q000601:surgery; D009300:Nasal Septum / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000000981:diagnostic imaging / Q000382:microbiology / Q000601:surgery; D013101:Sphenoid Sinus / Q000382:microbiology / Q000601:surgery*; D015524:Sphenoid Sinusitis / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed