title: Sphenoid marsupialization for chronic sphenoidal sinusitis.
abstract: OBJECTIVE
  To review experience with sphenoid marsupialization and describe the technique using new instrumentation.
  
  
  METHODS
  Retrospective review of five cases of chronic sphenoid sinusitis that were resistant to standard medical and surgical methods, which were treated by sphenoid marsupialization.
  
  
  METHODS
  Charts were reviewed and patients were interviewed regarding postoperative resolution of symptoms.
  
  
  RESULTS
  Five cases of recalcitrant sphenoid sinusitis were reviewed. All patients had headache before surgery, and two had visual disturbance. In follow-up ranging from 1 to 87 months, all were free of symptoms related to the sphenoid sinus.
  
  
  CONCLUSIONS
  Marsupialization is an effective method of exteriorizing a chronically infected sphenoid sinus. The use of functional endoscopic sinus surgery instruments and the TAC attachment of the Midas Rex drill make this surgery possible.
authors.affiliation: Department of Otolaryngology--Head and Neck Surgery, Center for Skull Base Surgery, University of California, Davis, Sacramento, USA.
authors.forename: P J
authors.initials: PJ
authors.lastname: Donald
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures; D012189:Retrospective Studies; D015524:Sphenoid Sinusitis / Q000601:surgery*