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Isolated Sphenoid Pyocele with Thornwaldt's Cyst of Nasopharynx.
MedLine Citation:
PMID:  22754866     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:  -    
Affiliation:
Department of ENT, GMC and RH, Patiala, Punjab India.
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