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Transnasal endoscopic surgery of sphenoid sinus aspergillosis

Published online by Cambridge University Press:  29 June 2007

W. S. Lin*
Affiliation:
Taipei, Taiwan
H. Y. Hung
Affiliation:
Taipei, Taiwan
*
Dr Wei-Shann Lin, Department of Otolaryngology, Far Eastern Memorial Hospital, 3F, No. 6, Lane 144, Sec. 2, Nan-Ya S. Road, Pan-Chiao, Taipei, Taiwan, R.O.C. Fax: 886-2-9545567.

Abstract

Aspergillus sp. are the most common contaminants of the paranasal sinuses with the maxillary sinus as the site most frequently involved. Fungal sphenoid sinusitis can be a life-threatening situation, thus aggressive therapy is indicated. The treatment is primarily surgical. The transnasal endoscopic technique offers excellent visualization and an atraumatic approach to the sphenoid sinus. Surgical exteriorization and aeration of the involved sinus, without using antifungal chemotherapeutic agents is curative. A rare case of sphenoid sinus aspergiUosis which was successfully treated by transnasal endoscopic sphenoidotomy is reported.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1993

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References

Comoretto, R., Carbone, A., Barzan, L., Caruso, G. (1986) Isolated sphenoid sinus aspergillosis: a case report. Rhinology 24: 219222.Google ScholarPubMed
Feely, M., Steinberg, M. (1977) Aspergillus infection complicating transphenoid yttrium-90 pituitary implant. Journal of Neurosurgery 46: 530532.CrossRefGoogle Scholar
Fujiwara, S., Fujino, H., Nogami, K., Nishio, S., Fukui, M. (1989) Aspergillosis of the sphenoid sinus with cavernous sinus syndrome. Neuroradiology 31: 443.CrossRefGoogle ScholarPubMed
Horton, W. D. II, Osguthorpe, J. D. (1989) CT findings in sphenoid sinus aspergillosis. Otolaryngology–Head and Neck Surgery 100: 606609.CrossRefGoogle ScholarPubMed
Lavelle, W. G. (1988) Aspergillosis of the sphenoid sinus. Ear, Nose and Throat Journal 67: 266269.Google ScholarPubMed
Loh, J. K., Howng, S. L. (1990) Sphenoid sinus aspergillosis–report of two cases. Kaohsiung Journal of Medical Sciences 6: 206212.Google Scholar
McGuirt, F. W., Harrill, J. A. (1979) Paranasal sinus aspergillosis. Laryngoscope 89: 15631568.CrossRefGoogle ScholarPubMed
Miglets, A. W., Saunders, W. H., Ayers, L. (1978) Aspergillosis of the sphenoid sinus. Archives of Otolaryngology 104: 4750.CrossRefGoogle ScholarPubMed
Milosev, B., Mahgonb, E. L., Aal, O. A., Elhasson, A. M. (1969) Primary aspergilloma of paranasal sinuses in the Sudan. British Journal of Surgery 56: 132142.CrossRefGoogle ScholarPubMed
Nielsen, E. W., Weisman, R. A., Savino, P. J., Schatz, N. J. (1983) Aspergillosis of the sphenoid sinus presenting as orbital pseudotumor. Otolaryngology-Head and Neck Surgery 91: 699703.CrossRefGoogle ScholarPubMed
Proetz, A. W. (1948) Sphenoid sinus. British Medical Journal 2: 243245.CrossRefGoogle ScholarPubMed
Romett, J. L., Newman, R. K. (1982) Aspergillosis of the nose and paranasal sinuses. Laryngoscope 92: 764766.CrossRefGoogle ScholarPubMed
Stammberger, H., Jakse, R., Beaufort, F. (1984) Aspergillosis of the paranasal sinuses: X-ray diagnosis, histopathology, and clinical aspects. Annals of Otology, Rhinology, and Laryngology 93: 251256.CrossRefGoogle ScholarPubMed
Stankiewicz, J. A. (1989) The endoscopic approach to the sphenoid sinus. Laryngoscope 99: 218221.CrossRefGoogle Scholar
Tan, K. T, Ong, P. L., Poh, W. T, Cheah, J. S. (1988) Aspergillosis of sphenoid sinus presenting as a pituitary tumour. Singapore Medical Journal 29: 410412.Google ScholarPubMed
Tsuboi, K., Higuchi, O., Nose, X., Maki, Y. (1988) Intracranial Aspergillus granuloma originating in the sphenoidal sinus - case report. Neurologia Medico-Chirurgica (Tokyo) 28: 10141019.CrossRefGoogle ScholarPubMed
Warder, F. R., Chikes, P. G., Hudson, W. R. (1975) Aspergillosis of the paranasal sinuses. Archives of Otolaryngology 101: 683685.CrossRefGoogle ScholarPubMed
Weinstein, M., Theron, J., Newton, T. H. (1976) Aspergillosis involving the sphenoid sinus. Neuroradiology 11: 137139.CrossRefGoogle ScholarPubMed
Wyllie, J. W, Kern, E. B., Djallian, M. (1973) Isolated sphenoid sinus lesion. Laryngoscope 83: 12521265.CrossRefGoogle Scholar