Demographic profile of subjects undergoing sphenoidotomy for sphenoid sinusitis, in a tertiary care centre of Punjab- analysis of 75 subjects
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20205170Keywords:
Endoscopic sinus surgery, Demography, Sphenoethmoidal recess, Sphenoiditis, SphenoidotomyAbstract
Background: The demographic profile of patients with Sphenoiditis undergoing surgical intervention, in the state of Punjab was studied. The emphasis was on the age, gender and clinical presentation in this prospective study.
Methods: There were 75 patients of sphenoethmoidal recess pathology with sphenoditis, who were selected from the Rhinology clinics of Otorhinolaryngology and head Neck services of Dayanand Medical College and Hospital Ludhiana , in a period one and a half years (November 2002 to October 2004). All patients were taken up for Functional endoscopic sinus surgery of the sphenoid sinus surgery with sphenoidotomy.
Results: The age range of subjects with sphenoiditis was between 12 years to 70 years. The mean age was 38.13 years. The maximum number of patients were in 19-30 years age group and the minimum in 31-40 years age group. Males outnumbered the females by a ratio of 1.7:1. The most common was posterior nasal drip (69.33% cases) behind the Eustachian tube and the least common complaint was diplopia (5.33% cases. Ocular involvement was observed in 32%. The right eye was more frequently involved (17.33%) as compared to the left (12%).
Conclusions: Patients with Sphenoid sinusitis were seen in the broad age range from 19 to 30 years with a male predominance. Posterior nasal discharge behind the Eustachian tube, rather than the typical occipital ache was the primary complaint .Right sided eye involvement with ptosis and lateral rectus palsy were commonly noted.
References
Van Alyea OE. Sphenoid sinus: anatomic study, with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Archives of Otolaryngology. 1941; 34(2):225-53.
Roth field RE, de Vries RJ, Rueger RG. Isolated sphenoid sinus disease. Head Neck. 1991;13(3):208-12.
Gilain L, Aidan D, Coste A, Peynegre R. Functional endoscopic sinus surgery for isolated sphenoid sinus disease. Head Neck. 1994;16(5):433-7.
Hadar, T, Yaniv, E, Shvero, J. Isolated sphenoid sinus changes-History, CT and endoscopic finding. J Laryngol Otol. 1996;110:850–3.
Cheung SW, Lee KC, Cha I. Orbitocerebral complications of pseudomonas sinusitis. Laryngoscope. 1992;102(12):1385-9.
Friedman WH, Katsantonis GP, Rosenblum BN, Cooper MH, Slavin R. Sphenoethmoidectomy: the case for ethmoid marsupialization. Laryngoscope. 1986;96(5):473-9.
Metson R, Gliklich RE. Endoscopic treatment of sphenoid sinusitis. Otolaryngology-Head Neck Surg. 1996;114(6):736-44.
Pfleiderer AG, Croft CB, Lloyd GA. Antroscopy: its place in clinical practice. A comparison of antroscopic findings with radiographic appearances of the maxillary sinus. Clin Otolaryngol All Sci. 1986;11(6):455-61.
Hirschmann A. About endoscopy of the nose and sinuses. A new method of investigation. Archives Otorhinolaryngol. 1903;14:195-7.
Messerklinger W. Endoscopic operations. Endoscopy of the Nose. Munich: Urban and Schazenberg. 1978:4950.
Stammberger, H. Endoscopic endonasal surgery- Concepts in treatment of recurring rhinosinusitis. Part I. Anatomic and pathophysiologic considerations. Otolaryngol Head Neck Surg. 1986;94:143.
Stankiewicz, JA. The endoscopic approach to the sphenoid sinus. Laryngoscope. 1989;99:218–21.
Wigand, ME. Transnasal ethmoidectomy under endoscopic control. Rhinol. 1981;19:7–15.
Fan X, Zhang D, Zhou M, Xu S, Shi L. Endoscopic pituitary tumor surgery by nasal cavity and sphenoid sinus. Lin chuang er bi yan hou ke za zhi= J Clin Otorhinolaryngo. 1999;13(5):210-1.
Shah NJ, Navnit M, Deopujari CE, Mukerji SS. Endoscopic pituitary surgery-a. Beginner’s guide. Ind J Otolaryngol Head Neck Surg. 2004;56(1):71-8.
Kennedy, DW. Functional endoscopic sinus surgery. Technique. Arch Otolaryngol. 1985;111:643-9.
Al-Qudah M. The relationship between anatomical variations of the sino-nasal region and chronic sinusitis extension in children. Inter J Paed Otorhinolaryngol. 2008;72(6):817-21.
Sethi DS. Isolated sphenoid lesions: Diagnosis and management. Otolaryngol Head Neck Surg. 1999;120:730–6.
Lawson W, Reino AJ. Isolated sphenoid sinus disease: An analysis of 132 cases. Laryngoscope 1997;107:1590-5.
Kanoh N, Xu R, Wang ZM, Dai CF, Chi FL, Kutler DI, et al. Isolated sphenoid sinus disease: an analysis of 122 cases. Ann Otol Rhinol Laryngol. 2002;111(4):323-7.
Ai D, Huang J, Zhang H, Huang M, Chen M, Gao L. The diagnosis and management of isolated sphenoiditis in children. Lin chuang er bi yan hou tou jing wai ke za zhi= J Clin Otorhinolaryngol Head Neck Surg. 2011;25(14):627-9.
Davies I, Buchanan MA, Prinsley PR. An unusual headache: sphenoiditis in children and adolescents. Inter J Pediatric Otorhinolaryngol. 2011;75(12):1486-91.
El Mograbi A, Soudry E. Ocular cranial nerve palsies secondary to sphenoid sinusitis. World J otorhinolaryngology-head neck Surg. 2017;3(1):49-53.
Stoll D, Dumon T, Adjibabi W. Complicated isolated inflammatory sphenoiditis (apropos of 23 cases). Revue de laryngologie-otologie-rhinologie. 1997;118(2):87-9.