Document Detail

Endoscopic transnasal sphenoidotomy with or without ethmoidectomy.
MedLine Citation:
PMID:  17527060     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We evaluated endoscopic transnasal sphenoidotomy (ETNS) with or without ethmoidectomy in patients with inflammatory sphenoid sinus disease (ISSD). PATIENTS AND METHODS: A retrospective review was conducted in 42 patients (17 males, 25 females; mean age 41 years; range 17 to 67 years) who underwent ETNS with (n=37) or without (n=5) ethmoidectomy for ISSD. The disase was staged according to our staging system based on computed tomography findings. RESULTS: Postnasal drainage was the most common symptom (n=37, 88.1%). Chronic rhinosinusitis was accompanied by sinonasal polyps in 25 patients (59.5%). Five patients (11.9%) had isolated sphenoid disease and 16 patients (38.1%) had unilateral disease. Five patients (11.9%) had stage 1, 15 patients (35.7%) had stage 2, and 22 patients (52.4%) had stage 3 disease. Surgery involved 68 sides. Ethmoidectomy was used in 63 sides of 37 patients, eight of whom required a supplementary procedure. At least one complication was seen in eight patients (19%), including severe perioperative hemorrhage (n=2), early postoperative hemorrhage (n=2), minor injuries to the lamina papyracea (n=4), and synechiae (n=5). CONCLUSION: In patients with isolated ISSD, the direct approach to the sphenoid sinus by ETNS without ethmoidectomy is a favorable technique, whereas ETNS with ethmoidectomy is necessary for patients with concurrent disease in other paranasal sinuses.
Adil Erylmaz; Engin Dursun; Güleser Saylam; Celil Göçer; Muharrem Dağli; Hakan Korkmaz
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat     Volume:  17     ISSN:  1300-7475     ISO Abbreviation:  Kulak Burun Bogaz Ihtis Derg     Publication Date:  2007  
Date Detail:
Created Date:  2007-05-28     Completed Date:  2007-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100899230     Medline TA:  Kulak Burun Bogaz Ihtis Derg     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  90-5     Citation Subset:  IM    
Department of Otolaryngology, Ankara Numune Hospital, Ankara, Turkey.
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MeSH Terms
Ethmoid Bone / surgery*
Medical Records
Middle Aged
Postoperative Complications
Retrospective Studies
Severity of Illness Index
Sphenoid Sinusitis / pathology,  radiography,  surgery*
Tomography, X-Ray Computed
Treatment Outcome

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