[Analysis of sphenoid sinus diseases with intracranial and/or orbital complications in 35 cases].
OBJECTIVE
To evaluate the clinical manifestations and treatment methods of sphenoid sinus diseases with intracranial and/or orbital complications, to provide reference for their diagnosis and treatment.


METHODS
The manifestations and operative ways of sphenoid sinus diseases with cranial/orbital complications in 35 cases were retrospectively analyzed.


RESULTS
There were 5 cases with meningitis, 3 cases with cavernous sinus thrombosis, 2 cases with pituitary abscess, 1 case with multiple intracranial abscess, 17 cases with optic neuritis, 8 cases with abduction nerve paralysis, 2 cases with orbital apex syndrome. All the patients underwent endoscopic sphenoid sinus surgery, three of them died of brain stem failure and carcinoma.


CONCLUSIONS
Sphenoid sinus disease may lead to severe complications if the diagnosis and treatment have be delayed.
Department of Otorhinolaryngology, Peking Tiantan Hospital, Beijing 100050, China. fthzi@sina.com.cn
Yonghua
Y
Li
Pinan
P
Liu
D000293:Adolescent; D000328:Adult; D000368:Aged; D001927:Brain Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000209:etiology*; D010254:Paranasal Sinus Diseases / Q000150:complications*; D012189:Retrospective Studies; D013101:Sphenoid Sinus / Q000473:pathology*; D055815:Young Adult