Isolated Sphenoid Sinusitis: Rare, But Vision Compromising Condition
Arunima Viswakaran Sreelatha1,2*, Hetal Marfatia1,3, Chandrani Chatterjee1
and Pranita Bhagat1
1Department of ENT, Seth GS Medical College and KEM Hospital, Parel, Mumbai,
Maharashtra, India
2Currently Working as Consultant, Gitanjali EYE and ENT Hospital, Trivandrum,
Kerala, India
3Professor and Head of the Department of ENT, Seth GS Medical College and KEM
Hospital, Parel, Mumbai, Maharashtra, India
*Corresponding Author: Arunima Viswakaran Sreelatha, Department of ENT, Seth
GS Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India.
Received:
September 27, 2023; Published: November 14, 2023
Abstract
Background: Isolated sphenoid sinusitis is a rare entity. Since the sinus is deep seated and surrounded by important neurovascular
structures, they present late with multiple cranial neuropathies. So, the need to understand the natural course of sphenoid sinus
infection is important. Our study aims at picking up cases under suspicion of isolated sphenoid sinusitis early for making a proper
management.
Methodology: We have done a descriptive observational study in a tertiary care hospital. Seven patients with radiographic evidence
of isolated sphenoid involvement were included in the study. After getting an informed consent from the patient and also institutional
ethics committee exemption, their presentation and management process were recorded, analysed, and compared with other studies.
Results: Headache was the commonest symptom with which patient presents. Imaging showed involvement of cavernous sinus and
multiple cranial nerves. All of them underwent surgical clearance, but their histopathological evidence was varied. They all showed
good recovery except for 1 patient who had recurrence.
Conclusion: Early detection and prompt intervention according to their aetiology is very crucial to avoid permanent debilitating
complications associated with isolated sphenoid sinusitis.
Keywords: Sphenoid Sinus; Cavernous Sinus; Ophthalmoplegia; Endoscopy; Headache
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