Sphenoid Sinus

Chronic sinonasal aspergillosis with associated mucormycosis

January 1, 2007     Ramandeep S. Virk, MS; Pankaj Arora, MS

Sphenochoanal polyp presenting with concomitant nasal polyps

January 1, 2007     James R. Tysome, MA, MRCS; Hesham A. Saleh, FRCS (ORL-HNS)

Sphenochoanal polyp: An endoscopic view

January 1, 2007     Sampan Singh Bist, MS; Manisha Bisht, MBBS; Rajesh Kumar, MS; Saurabh Varshney, MS

Transsphenoidal encephalocele in a neonate

June 30, 2006     Kailash Narasimhan, BA; James Coticchia, MD

Total necrosis of the intranasal structures and soft palate as a result of nasal inhalation of crushed OxyContin

July 31, 2005     David Greene, MD, FACS
Nasal inhalation of substances such as cocaine has long been linked to septal necrosis and more recently to palatal perforation. This report describes the case of a 37-year-old man who was addicted to crushed OxyContin (sustained-release oxycodone HCl) tablets and who presented with total necrosis of the septum, sinuses, and soft palate. To the best of the author's knowledge, this is the first reported case of nasal and palatal necrosis linked to nasal inhalation of crushed OxyContin, which is a relatively new form of drug abuse. The pathophysiology of drug-induced sinonasal disease and a review of the literature are also presented.

Sinonasal leiomyoma: Report of 2 cases

April 1, 2005     A.K. Agarwal, MS; Ramanuj Bansal, MS; Deepti Singhal, MS

Leiomyomas are benign smooth-muscle tumors that are common in the alimentary tract, uterus, skin, and subcutaneous tissue. They are very uncommon in the upper respiratory tract and rare in the nasal cavity and paranasal sinuses. To the best of our knowledge, only 23 such cases have heretofore been published in the literature. We report 2 new cases of sinonasal leiomyoma that originated at different sites in the nasal cavity. We also discuss the various investigative and therapeutic modalities available.

Does Helicobacter pylori play a role in upper respiratory tract inflammation? A case report

April 1, 2005     Paulo Borges Dinis, MD; Maria Luz Martins, MD; João Subtil, MD
Persistent isolated inflammation of the sphenoid sinus, an entity that is not diagnosed very often, poses a challenge to clinicians and researchers alike. Its features tend to suggest that its etiopathogenesis is different from that of more common forms of chronic rhinosinusitis. We report the case of a 54-year-old woman who had a history of distressing chronic postnasal drip and a globus sensation with opacification of the sphenoid sinus. She was diagnosed with gastroesophageal reflux, and Helicobacter pylori was detected in her gastric contents and in the inflamed mucosa of the sphenoid sinus, as well. Complete symptom relief was achieved only after she had undergone surgical sphenoidotomy and treatment with anti'H pylori medication. We discuss the potential for this ubiquitous gastric bacterium to play a role in at least some forms of chronic sinonasal inflammation.

Endoscopic view of sphenoid fungal sinusitis

March 1, 2005     Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

Bilaterally exposed carotid arteries after drainage of a sphenoid sinus mucocele

February 1, 2005     Andrew R. Spector, MD; William M. Keane, MD

Endoscopic view of a clival skull base tumor invading the sphenoid space

January 1, 2005     Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; Eiji Yanagisawa, MD, FACS

Spontaneous bilateral intrasphenoidal lateral encephaloceles: CT and MRI findings

December 1, 2004     Ahmet Kemal Firat, MD; Yezdan Firat, MD
Lateral intrasphenoidal encephaloceles are rare anomalies. We describe a unique case in which spontaneous bilateral intrasphenoidal lateral encephaloceles were discovered in a 53-year-old man during a work-up for cerebrospinal fluid leak. We discuss our clinical findings and the results of preoperative computed tomography and magnetic resonance imaging.

Endoscopic views of the ostia and ostia-like structures in the lateral nasal wall

June 30, 2004     Eiji Yanagisawa, MD, FACS; Ken Yanagisawa, MD, FACS; Dewey A. Christmas, MD; Ray Yanagisawa, BA
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