Series of isolated sphenoid disease: Often neglected but perilous.

Autor:	Yap HJ; Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Sains Malaysia, Kampus Kesihatan, Kota Bharu, Malaysia., Ramli RR; Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Sains Malaysia, Kampus Kesihatan, Kota Bharu, Malaysia., Yeoh ZX; Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia., Sachlin IS; Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2022 May 19; Vol. 10, pp. 2050313X221097757. Date of Electronic Publication: 2022 May 19 (Print Publication: 2022).
DOI:	10.1177/2050313X221097757
Abstrakt:	Isolated sphenoid sinus disease (ISSD) is an uncommon entity and may present with non-specific symptoms. As sphenoid sinus is located adjacent to vital structures, a diseased sphenoid sinus can potentially lead to devastating complications such as cranial neuropathies, cavernous sinus thrombosis and intracranial abscess. Herein, we report a case series of three patients who presented with different localization of headache as their main symptom. Endoscopic nasal assessment showed abnormal nasal cavity findings with mucosal thickening and soft tissue mass occupying the sphenoid sinus revealed by computed tomography (CT) scan. All the sphenoid sinuses were drained via endoscopic approach. Post operatively, antibiotics or anti-fungal were given, however, these three cases displayed the possible variation in severity of this disease. Case 1 had an uncomplicated inflammatory disease of the sphenoid sinus, which is of bacterial origin, while the other two cases had fungal infection. Case 2 achieved disease stability with anti-fungal treatment, but Case 3 had a serious complication after treatment with permanent vision loss. A patient who presents with atypical headache, not responsive to analgesia should be investigated promptly with nasal endoscopic examination and radiological imaging for isolated sphenoid sinus disease to avoid devastating complications. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2022.)
Databáze:	MEDLINE
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