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Sphenoid Sinus

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...

Sphenopalatine artery pseudoaneurysm after endoscopic sinus surgery: A case report and literature review

February 18, 2012  |  Raewyn G. Campbell, BMed(Hons), BApplSci(Physio)


Previously reported cases of iatrogenic sphenopalatine artery (SPA) pseudoaneurysm have occurred only after trans-sphenoidal surgery for pituitary tumors or maxillofacial surgery. In this article, the author presents what to the best of her knowledge is the first reported case...

Hepatocellular carcinoma presenting as an isolated sphenoid sinus lesion: A case report

January 25, 2012  |  Shantanu Tandon, MS, DNB, Arun Nair, DNB, DLO, MBA, Anisha Sawkar, DNB, DMRD, A.M. Balasubramanya, MS, and Diganta Hazarika, MD


We report a rare case of a metastatic sphenoid sinus lesion originating from an undiagnosed hepatocellular carcinoma (HCC) in a 53-year-old man who presented with gradually progressive external ophthalmoplegia. Imaging showed a right sphenoid sinus lesion infiltrating the...

Petrous apex cholesterol granuloma involving the sphenoid sinus

November 22, 2011  |  Dirk Korbmacher, MD, Martin Lehmann, MS, Hans-Björn Gehl, MD, Jörg Ebmeyer, MD, and Holger Sudhoff, MD, PhD


Petrous apex cholesterol granulomas are slowly expanding lesions that clinically present with a variety of cranial nerve deficits. We present a case of a 40-year-old man with a right-sided, sudden-onset hearing loss. Apart from a 60-dB high-frequency sensorineural hearing loss...

Maxillary sinus nonodontogenic myxoma extending into the sphenoid sinus and pterygopalatine fossa: Case report

September 21, 2011  |  Süleyman Yilmaz, MD, Deniz Tuna Edizer, MD, Cengiz Yagiz, MD, Mehmet Sar, MD, and Harun Cansiz, MD


Myxomas are benign mesenchymal tumors of uncertain etiology. They can arise from odontogenic tissue, as well as from the sinonasal tract and from the facial and temporal bones, apparently from nonodontogenic mesenchyme. Although histologically benign, myxomas are locally...

Bilateral sphenoid fungal sinusitis

July 14, 2011  |  Jae Hoon Lee, MD

Sphenochoanal polyp: Current diagnosis and management

July 1, 2010  |  Mohannad Ahmad Al-Qudah, MD, FICS, FAAOHNS


Choanal polyps arise from inflamed, edematous mucosa in the paranasal sinuses. They extend into the choana and cause nasal obstruction and mouth breathing. In most cases, these polyps arise in the maxillary sinus, but rare cases of origin in the sphenoid sinus and other nasal...

Squamous cell carcinoma arising in an inverted papilloma

May 1, 2010  |  Jiovani M. Visaya, BA, Julie M. Wu, MD, Eugene A. Chu, MD, and Marc G. Dubin, MD

New approach to the endoscopic repair of a CSF leak originating from the lateral recess of the sphenoid sinus

April 1, 2010  |  Ausama Alaani, FRCS(ORL-HNS), Patrick Jassar, FRCS(ORL-HNS), Eleanor Mein, MRCS, and Alan Phillip Johnson, FRCS


Difficult access can make identification of a cerebrospinal fluid leak from the lateral wall of the sphenoid sinus very difficult, especially in a well-pneumatized sinus. Access to the sphenoid sinus has become easier with the advancement of minimally invasive endoscopic...

Isolated sphenoid sinusitis presenting as blindness

January 1, 2010  |  Simon Wright, MBChB and Naeem Khan, MBChB, MRCS

An acute ischemic stroke secondary to sphenoid sinusitis

November 1, 2009  |  Christian Adrien Righini, MD, PhD, Fabrice Bing, MD, Pierre Bessou, MD, Kamel Boubagra, MD, and Emile Reyt, MD


Acute isolated sphenoid sinusitis is a relatively uncommon entity. Because its symptoms and clinical findings are nonspecific, it can be easily misdiagnosed. Left unrecognized and untreated, it can lead to several well-known and severe complications, including meningitis,...

Adult Burkitt lymphoma originating in the sphenoid sinus: Case report and review of the literature

July 1, 2009  |  Sri Kiran Chennupati, MD, Satish Govindaraj, MD, Gavin Setzen, MD, and Alexander G. Chiu, MD


Burkitt lymphoma is a high-grade B-cell non-Hodgkin lymphoma. The endemic form of this malignancy occurs primarily in children aged 5 to 7 years, and it presents with jaw and facial bone involvement. The sporadic form affects older children (mean age: 12.2 yr) and often...


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