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Sphenoid Sinus

Sphenoid sinus mucocele as a cause of isolated pupil-sparing oculomotor nerve palsy mimicking diabetic ophthalmoplegia

December 20, 2013  |  Alireza Mohebbi, MD; Hesam Jahandideh, MD; Ali Amini Harandi, MD


A 37-year-old woman presented with isolated right-sided oculomotor nerve palsy. Neurologic examination revealed no other disorder. Computed tomography of the paranasal sinuses demonstrated complete opacification of the sphenoid sinus. Dense mucoid fluid was drained from the...

The endoscopic transnasal paraseptal approach to a sphenoid sinus osteoma: Case report and literature review

December 20, 2013  |  Frank Rikki Canevari, MD; Georgios Giourgos, MD; Andrea Pistochini, MD


Osteomas are the most common benign tumors of the nose and paranasal sinuses. Their symptoms, which are nonspecific, occur as the result of a blocked nasal airflow or, in some rare cases, the involvement of nearby structures. Isolated sphenoid sinus osteomas are very rare, as...

Endoscopic view of the sphenoid sinus seen through the posterior ethmoid sinus

October 24, 2013  |  Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

Care must be taken when entering the sphenoid sinus, to dissect inferiorly and medially to avoid injury to the vital structures of the lateral wall of the sphenoid sinus.

Progressive blindness caused by an unusual sphenoid sinus dehiscence

September 19, 2013  |  Mariana Marquez, MD; Enrique Palacios, MD, FACR; Jeremy Nguyen, MD; Harold R. Neitzschman, MD, FACR, FACNM, FAAP

The optic nerve and other important structures in the anterior skull base can be involved in chronic sphenoidal sinus disease.

Endoscopic view of the posterior septal branch of the sphenopalatine artery

April 18, 2013  |  Jae Hoon Lee, MD

Moderate posterior epistaxis can be avoided if the posterior septal branch of the sphenopalatine artery is accounted for when extending the natural ostium inferiorly to a distance greater than approximately 5 mm.

Renal cell carcinoma metastatic to the sinonasal region: Three case reports with a review of the literature

November 1, 2012  |  Pradipta Kumar Parida, MS, DNB, MNAMS


The paranasal sinuses are a rare location for metastases. The most frequent infraclavicular primary tumor to metastasize to the nose and paranasal sinuses is renal cell carcinoma. Three cases of bilateral renal cell carcinoma with metastases to the paranasal sinuses and with...

Sphenoethmoid sinusitis in a child resulting in a disastrous intracranial sequela

November 1, 2012  |  Aye Jane Sow, MS(ORL-HNS); Jeevanan Jahendran, MS(ORL-HNS); Charng Jeng Toh, MS(Neurosurg); Thean Yean Kew, FRCR


Localized sphenoethmoid sinusitis in children is a rare occurrence. It is usually overlooked because of the misconception that the sinuses are not developed. We describe a case of localized acute sphenoid and right posterior ethmoid sinusitis that presented as right frontobasal...

Staphylococcus aureus cavernous sinus thrombosis mimicking complicated fungal sinusitis

July 5, 2012  |  Murat Songu, MD; Nazan Can, MD; Kazim Onal, MD; Secil Arslanoglu, MD; Nezahat Erdogan, MD; Aylin Kopar, MD; Ejder Ciger, MD


Septic cavernous sinus thrombosis is a rare and potentially life-threatening complication of infections involving the paranasal sinuses or the middle one-third of the face. We report a challenging case of cavernous sinus thrombosis...

Endoscopic view of sphenoid sinusitis adjacent to an intracranial aneurysm

July 5, 2012  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Cases of isolated sphenoid sinusitis unresponsive to medical therapy can be treated endoscopically using sinus balloon dilation.

Spectrum of paranasal sinus mycoses in coastal India

June 4, 2012  |  Jyoti R. Kini, MD; Spoorthy S. Shetty, MBBS; Hema Kini, MD


Fungal infections of the nose and paranasal sinuses are uncommon, and the disease they cause can be identified from their histopathologic appearance. The aim of this study was to assess the incidence of fungal infection and histopathologic changes...

Inflammatory myofibroblastic tumor of the nose and paranasal sinuses masquerading as a malignancy

May 1, 2012  |  Mohamed Amin, MD, FRCSI; Rohana Ali, AFRCS; Susan Kennedy, MD; Conrad Timon, MD, FRCSI


Inflammatory myofibroblastic tumor (IMT) of the nose and paranasal sinuses is a rare entity that exhibits a diverse histologic pattern that can mimic malignant tumors clinically and radiologically. We present a case of IMT in an 88-year-old man who presented with an aggressive...

Report of a sphenoid sinus lipoma

February 18, 2012  |  Greg Eldon Davis, MD, MPH, Lauren Elaine Kernochan, MD, and Lawrence D. True, MD


Sphenoid sinus opacification on computed tomography can represent a multitude of etiologies. Such a finding can signify an infectious, inflammatory, congenital, neuronal, vascular, or neoplastic mass. In this article, we describe a case of a lipoma of the sphenoid sinus, and we...


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