title: Combined endoscopic transnasal and intrasphenoidal septal approach for the drainage of sphenoid sinusitis with cleft lip: technical note.
abstract: Isolated sphenoiditis is an uncommon disease, particularly in children. Immediate antibiotic therapy and/or endoscopic transnasal sphenoidotomy should be performed to avoid fatal complications. However, the commonly used transnasal route is not always available in children with a cleft lip and deviated nasal septum. We report a case of acute isolated sphenoid sinusitis in a 12-year-old boy with a cleft lip and deviated nasal septum. This patient underwent combined endoscopic transnasal and intrasphenoidal septal surgery and improved without septoplasty, which may affect the later growth of the nose.
authors: Department of Radiology, Eulji University Medical Center, Eulji University, Daejeon, South Korea.
authors: So Young
authors: SY
authors: Choi
authors: Department of Otolaryngology-Head and Neck Surgery, Eulji University Medical Center, Eulji University, Daejeon, South Korea. Electronic address: mschoi@eulji.ac.kr.
authors: Myoung Su
authors: MS
authors: Choi
mesh_terms: D000208:Acute Disease; D002648:Child; D002971:Cleft Lip / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009300:Nasal Septum / Q000002:abnormalities* / Q000503:physiopathology*; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D015524:Sphenoid Sinusitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome
keywords: Intrasphenoidal septum; Isolated sphenoid sinusitis