[The diagnosis and treatment of isolated sphenoid sinus disease].
OBJECTIVE
To detail the underlying symptoms and signs of patients with isolated sphenoid sinus inflammatory disease and enhance the initial diagnostic accuracy.


METHODS
49 patients with isolated sphenoid sinus inflammatory disease were reviewed, and the outcomes of the endoscopic surgery were compared with the non-endoscopic surgery.


RESULTS
In patients who underwent endoscopic sphenoidotomy, 31 were virtually free from symptoms and 5 still experienced mild headache and hyposmia but their radiographic finding had become normalized. None of them need re-operation within 6-48 months follow-up. However, in patients with non-endoscopic sinus irrigation, only one was free from the symptoms and 5 patients underwent re-operation because of recurrence.


CONCLUSIONS
Nasal endoscopy and CT/MRI scan could provide a precise diagnosis for isolated sphenoid sinus disease and endoscopic surgery is valuable in its treatment.
Zhang
N
N
Department of Otolaryngology, West China Hospital of Sichuan University, Chengdu 610041.
Wang
L
L
An
H
H
Liang
C
C
D000293:Adolescent; D000328:Adult; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D015524:Sphenoid Sinusitis / Q000175:diagnosis* / Q000601:surgery*; D014057:Tomography, X-Ray Computed