Document Detail

Isolated Sphenoid Pyocele with Thornwaldt's Cyst of Nasopharynx.
MedLine Citation:
PMID:  22754866     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Isolated sphenoid sinusitis (ISS) is a rare entity. ISS accounts for about 1-2% of all sinus infections. Isolated sphenoid sinus involvement may include mucoceles, pyoceles and isolated mycotic infections. We report a case of isolated sphenoid pyocele in a 35 year-old female who presented in August 2007 with frontal and occipital headache, post nasal discharge and bilateral nasal obstruction for 6 years. CT scan showed isolated right sphenoid sinusitis. Diagnostic nasal endoscopy showed a streak of post nasal discharge on right side above the torus tubaris confirming right sphenoiditis. A cyst in the nasopharynx was incidentally detected which was confirmed by fluid aspiration to be Thornwaldt's cyst (TC). TCs have reported prevalence of 0.2-5% and though most are asymptomatic their location renders them vulnerable to infection. Sphenoidotomy was done and the cyst in the nasopharynx was removed and marsupialised. Postoperative course was uneventful.
Dalbir Singh; B S Sohal; Sangeeta Aggarwal
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Publication Detail:
Type:  Journal Article     Date:  2011-05-03
Journal Detail:
Title:  Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India     Volume:  63     ISSN:  0973-7707     ISO Abbreviation:  Indian J Otolaryngol Head Neck Surg     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2012-07-03     Completed Date:  2012-08-23     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  9422551     Medline TA:  Indian J Otolaryngol Head Neck Surg     Country:  India    
Other Details:
Languages:  eng     Pagination:  140-1     Citation Subset:  -    
Department of ENT, GMC and RH, Patiala, Punjab India.
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