JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2017, Vol. 31 ›› Issue (4): 47-50.doi: 10.6040/j.issn.1673-3770.0.2017.048

Previous Articles     Next Articles

Treatment experience of different sphenoid sinus endoscopic surgical approaches under CT scan.

CHU Shidong, CI Jun, WANG Haiying, WANG Changyang, ZHOU Huai'en, BAO Qingfu   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Integrated Chinese and Western Medicine of Zhejiang Province, Hangzhou 310003, Zhejiang, China
  • Received:2017-02-10 Online:2017-08-16 Published:2017-08-16

Abstract: Objective To investigate the morphology of the sphenoid sinus using images from a computed tomography(CT)scan. Methods Image data acquired between July 2008 and July 2015 from 98 inpatients with sphenoid sinus diseases were retrospectively analyzed. The sphenoid sinus diseases were treated using one of three endoscopic surgical approaches. Sixty-four, 24, and 10 patients underwent the nasal cavity-olfactory cleft, Messerklinger, and Wigand approaches, respectively. Results The patients received over 6 months of follow-up and the windows of the sphenoid sinuses remained unobstructed and the symptoms were controlled. There were no serious operative or postoperative complications. Conclusion A CT scan can guide endoscopic sphenoid sinus surgery, which is minimally invasive, safe, and effective.

Key words: Endonasal endoscopic surgical procedures, operative, Tomography, X-ray computed, Sphenoid sinus

CLC Number: 

  • R765.9
[1] 中华耳鼻咽喉头颈外科杂志编辑委员会鼻科组,中华医学会耳鼻咽喉头颈外科鼻科学组. 慢性鼻-鼻窦炎诊断和治疗指南(2012,昆明)[J].中华耳鼻咽喉头颈外科杂志,2013, 48(2):92-94. Subspecialty Group of Rhinology, Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery; Subspecialty Group of Rhinology, Society of Otorhinolaryngology Head and Neck Surgery, Chinese Medical Association.Guidelines for diagnosis and treatment of chronic rhinosinusitis(2012, Kunming)[J]. Chin J Otolaryngol Head Neck Surg, 2013, 48(2):92-94.
[2] Cavallo LM, Cappabianca P, Messina A, et al.Extended endoscopic endonasal approach to the clivus and cranio-vertebraljunction:anatomical study[J].Childs Nerv Syst,2007, 23(6):665-671.
[3] Lee JC, Kao CH, Hsu CH, et al. Endoscopic transsphenoidal vidian neurectomy[J].Eur Arch Otorhinolaryngol, 2011, 268(6):851-856.
[4] Yu H, Li H, Chi F, et al. Endoscopic surgery with powered instrumentation for isolated sphenoid sinus disease [J].ORL J Otorhinolarygol Relat Spec,2006,68(3):129-134.
[5] Wu HB, Zhu L, Yuan HS, et al. Surgical measurement to sphenoid sinus for the Chinese in Asia based on CT using sagital reconstruction images[J].Eur Arch Otorhinolarygol, 2011, 268(2):241-246.
[6] Ng YH, Sethi DS. Isolated sphenoid sinus disease:differential diagnosis and management [J].Cur Opin Otorhinolarygol Head Neck Surg, 2011, 19(1):16-20.
[7] 周兵,韩德民,崔顺九,等. 蝶窦外侧隐窝脑膜脑膨出鼻内镜下经翼突径路手术[J].中华耳鼻咽喉头颈外科杂志,2007,42(5):328-333. ZHOU Bing, HAN Demin, CUN Shunjiu, et al. Endoscopic transpterygoid intervention of meningoencephalocele within lateral recess of sphenoid sinus[J]. Chin J Otorhinolaryngol Head Neck Surg, 2007, 42(5):328-333.
[8] 严波, 张秋航, 曹连杰, 等. 蝶窦外侧隐窝病变的诊断与鼻内镜治疗[J].临床耳鼻咽喉头颈外科杂志, 2014,28(11):751-755.
[9] 赖银妍,许庚,史剑波.鼻窦球囊扩张术治疗慢性鼻-鼻窦炎[J].中华耳鼻咽喉头颈外科杂志,2009,44(1):73-75. LAI Yinyan, XU Geng, SHI Jianbo. The recent process in the treatment of chronic rhinosinnsitis—balloon sinuplasty[J]. Chin J Otorhinolaryngol Head Neck Surg, 2009, 44(1):73-75.
[1] WU Yuanqing, XU Jinjing, DENG Yi. Experience in diagnosis and treatment of isolated inflammatory diseases of thesphenoid sinus. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 114-116.
[2] JI Zao, YAN Aihui. The clinical application of sinus CT and MRI in unilateral benign sphenoid sinus lesions. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(3): 75-79.
[3] ZHANG Jianwei, WANG Guoqing, NI Ze. A report of craniopharyngioma misdiagnosed as sphenoid sinus cyst. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 109-110.
[4] CHENG You, XUE Fei, WANG Tianyou, CHEN Wei, JI Junfeng, WANG Zhiyi, XU Li, HANG Chunhua. Clinical analysis and treatment of sphenoid sinusitis after transsphenoidal pituitary adenoma resection. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(1): 54-57.
[5] LIU Ran-ran, WANG Jian-guo, HAN Zhen-qiang, QIAO Zhen-hua. Ethmoid and sphenoid sinus mucocele caused decreased visual acuity: one case report and a literature review [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 101-102.
[6] ZHONG Zhao-tang, LIANG Min-zhi, CHEN Ze. Sphenoid sinus open surgeries for sphenoid sinus related diseases [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(3): 39-41.
[7] GUAN Juan. A case of sphenoid sinus cyst seeking treatment as visual loss in the first visit [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(2): 93-94.
[8] QIU Jin-mei, QIU Lian-sheng. Research status of isolated sphenoid sinus disease [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(1): 89-91.
[9] WANG Hai-ying1, ZHANG Shi-yong2. Endoscopic surgery for fungal sphenoid sinusitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2011, 25(5): 66-.
[10] ZHAO Zhenhua1, WANG Qirong1, LIU Shuwei2, HAN Fei1, GU Lintao1, Li Xiao1, Chen Zhipeng1. Lamellar coronal sectional anatomy for endoscopic sphenoidotomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(2): 35-37.
[11] SUN Yan, SONG Xi-cheng, ZHANG Qing-quan, ZHU Yu-hong, ZHANG Hua, WANG Qiang. Application of an image-guided system in endoscopic sinus surgery in  treatment of sphenoid sinus lesions [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(6): 13-.
[12] ZHAO Zhen-hua1, WANG Qi-rong1,LIU Shu-wei2, HAN Fei1, GU Lin-tao1, LIANG Hui1, CUI Zhao-yang1, YU Shu-dong1. Lamellar sectional anatomy of endoscopic sphenoidotomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(5): 33-36.
[13] CHEN Chengfang1, LI Xuezhong1, XU Haojie2, CAI Xiaolan1,
ZHANG Liqiang1, LI Yanzhong1, LIU Zhonglu1
. Transnasal endoscopic surgery for anterior skull base and sella region tumors [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(1): 18-22 .
[14] JIANG Shao-hong,LIU Feng-chun,ZHANG Qing-quan,L Yong-bin ,WANG Qiang . Imaging anatomy of the apertura of the sphenoidal sinus
[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(5): 439-441 .
[15] ZHAO Min,WANG Shou-sen,ZHEN Ze-nian,CHEN Xian-ming,WANG Mao-xin . Sphenoid sinus and trans-sphenoid surgery under nasal endoscopy and microscopy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2008, 22(3): 244-245 .
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!