TY - JOUR
T1 - The clinical behavior of isolated sphenoid sinusitis
AU - Gilony, Dror
AU - Talmi, Yoav P.
AU - Bedrin, Lev
AU - Ben-Shosan, Yosef
AU - Kronenberg, Jona
PY - 2007/4
Y1 - 2007/4
N2 - Objective: We sought to study the clinical behavior and treatment outcome of isolated sphenoid sinusitis (ISS). Study Design and Setting: We conducted a retrospective study of patients diagnosed with ISS in a tertiary medical center over 20 years. Results: Of 72 patients with ISS, 79 percent had acute symptoms, 15 percent had chronic symptoms, and 6 percent had incidental radiological findings. Fifteen percent were children. Most patients were diagnosed between January and April (P < 0.01), and increasing incidence was noted over the years (P < 0.001). Headache was the most common presenting symptom (85%). Chronic patients complained also of nasal symptoms (82%). Six patients had a major complication of sinusitis (none of them were children), and two patients died. Immunocompromised patients had more major complications (P ≤ 0.001) and increased mortality (P ≤ 0.01). Conclusion: Most patients need conservative treatment alone. However, life-threatening complications are not infrequent. Close observation and early surgical intervention, if needed, provide the mainstay of treatment. Significance: This is the first large series that focuses on the clinical behavior, complications, and treatment of ISS.
AB - Objective: We sought to study the clinical behavior and treatment outcome of isolated sphenoid sinusitis (ISS). Study Design and Setting: We conducted a retrospective study of patients diagnosed with ISS in a tertiary medical center over 20 years. Results: Of 72 patients with ISS, 79 percent had acute symptoms, 15 percent had chronic symptoms, and 6 percent had incidental radiological findings. Fifteen percent were children. Most patients were diagnosed between January and April (P < 0.01), and increasing incidence was noted over the years (P < 0.001). Headache was the most common presenting symptom (85%). Chronic patients complained also of nasal symptoms (82%). Six patients had a major complication of sinusitis (none of them were children), and two patients died. Immunocompromised patients had more major complications (P ≤ 0.001) and increased mortality (P ≤ 0.01). Conclusion: Most patients need conservative treatment alone. However, life-threatening complications are not infrequent. Close observation and early surgical intervention, if needed, provide the mainstay of treatment. Significance: This is the first large series that focuses on the clinical behavior, complications, and treatment of ISS.
UR - http://www.scopus.com/inward/record.url?scp=34047154413&partnerID=8YFLogxK
U2 - 10.1016/j.otohns.2006.11.019
DO - 10.1016/j.otohns.2006.11.019
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C2 - 17418260
AN - SCOPUS:34047154413
SN - 0194-5998
VL - 136
SP - 610
EP - 615
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 4
ER -