Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34631/sporl.1053 |
Resumo: | Objective: To review and report isolated sphenoid sinus diseases from a tertiary hospital, with special attention to the patients' presenting symptoms, diagnosis, and clinical outcomes. Study Design, Material and Methods:Retrospective chart review performed on patients diagnosed with isolated sphenoid sinus disease, undergoing endoscopic sinus surgery between January 2017 and December 2021. Results: 19 patients were included, with a mean age of 48.0 ± 18.7 years. The most common symptom was headache (38.9%) followed by nasal obstruction (33.3%). Cranial neuropathies occurred exclusively in the group of malignant neoplasms. Inflammatory etiology was the most frequent (57.9%) and included fungal sinusitis (27%), chronic rhinosinusitis (18%) and mucocele (5%). Conclusions: The diagnosis of isolated sphenoid lesions requires a high degree of suspicion since they can present with nonspecific symptoms. Early surgical intervention, for diagnostic or therapeutic purposes, is generally indicated, with nasosinusal endoscopic surgery being the most appropriate modality in most cases. |
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Isolated Sphenoid Sinus lesions: a Tertiary Hospital ExperienceLesões isoladas do seio esfenoidal: Casuística de um centro hospitalar terciárioSeio esfenoidalRinossinusiteLesão isoladaSphenoid sinusSinusitisisolated lesionObjective: To review and report isolated sphenoid sinus diseases from a tertiary hospital, with special attention to the patients' presenting symptoms, diagnosis, and clinical outcomes. Study Design, Material and Methods:Retrospective chart review performed on patients diagnosed with isolated sphenoid sinus disease, undergoing endoscopic sinus surgery between January 2017 and December 2021. Results: 19 patients were included, with a mean age of 48.0 ± 18.7 years. The most common symptom was headache (38.9%) followed by nasal obstruction (33.3%). Cranial neuropathies occurred exclusively in the group of malignant neoplasms. Inflammatory etiology was the most frequent (57.9%) and included fungal sinusitis (27%), chronic rhinosinusitis (18%) and mucocele (5%). Conclusions: The diagnosis of isolated sphenoid lesions requires a high degree of suspicion since they can present with nonspecific symptoms. Early surgical intervention, for diagnostic or therapeutic purposes, is generally indicated, with nasosinusal endoscopic surgery being the most appropriate modality in most cases.Objetivos: Caraterização da clínica e principais etiologias de lesões isoladas do seio esfenoidal, através da análise da casuística de um centro hospitalar terciário. Desenho do Estudo, Material e Métodos:Estudo retrospetivo de doentes com lesões isoladas do seio esfenoidal submetidos a abordagem endoscópica nasossinusal, entre Janeiro de 2017 e Dezembro de 2021. Resultados: Foram selecionados 19 doentes, com idade média de 48.0 ± 18.7 anos. O sintoma mais comum foi a cefaleia (38.9%) seguido de obstrução nasal (33.3%). As neuropatias cranianas ocorreram exclusivamente no grupo das neoplasias malignas. A etiologia inflamatória foi a mais frequente (57.9%), incluindo sinusite fúngica (27%), rinossinusite crónica (18%) e mucocelo (5%). Conclusões: O diagnóstico de lesões isoladas do seio esfenoidal requer um elevado grau de suspeição pela sintomatologia inespecífica com que se apresentam. A intervenção cirúrgica precoce, com intuito diagnóstico ou terapêutico, está geralmente indicada, sendo a cirurgia endoscópica nasossinusal a modalidade mais adequada na maioria dos casos.Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2022-12-18info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://doi.org/10.34631/sporl.1053https://doi.org/10.34631/sporl.1053Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 60 No. 4 (2022): December; 363-368Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 60 Núm. 4 (2022): Dezembro; 363-368Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 60 N.º 4 (2022): Dezembro; 363-3682184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPengporhttps://journalsporl.com/index.php/sporl/article/view/2113https://journalsporl.com/index.php/sporl/article/view/2113/121https://journalsporl.com/index.php/sporl/article/view/2113/122Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoçoinfo:eu-repo/semantics/openAccessCaetano, MarianaOliveira, VítorTomé, DiogoLuís, Leonel2024-01-04T12:51:26Zoai:journalsporl.com:article/2113Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T01:30:00.474858Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience Lesões isoladas do seio esfenoidal: Casuística de um centro hospitalar terciário |
title |
Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience |
spellingShingle |
Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience Caetano, Mariana Seio esfenoidal Rinossinusite Lesão isolada Sphenoid sinus Sinusitis isolated lesion |
title_short |
Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience |
title_full |
Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience |
title_fullStr |
Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience |
title_full_unstemmed |
Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience |
title_sort |
Isolated Sphenoid Sinus lesions: a Tertiary Hospital Experience |
author |
Caetano, Mariana |
author_facet |
Caetano, Mariana Oliveira, Vítor Tomé, Diogo Luís, Leonel |
author_role |
author |
author2 |
Oliveira, Vítor Tomé, Diogo Luís, Leonel |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Caetano, Mariana Oliveira, Vítor Tomé, Diogo Luís, Leonel |
dc.subject.por.fl_str_mv |
Seio esfenoidal Rinossinusite Lesão isolada Sphenoid sinus Sinusitis isolated lesion |
topic |
Seio esfenoidal Rinossinusite Lesão isolada Sphenoid sinus Sinusitis isolated lesion |
description |
Objective: To review and report isolated sphenoid sinus diseases from a tertiary hospital, with special attention to the patients' presenting symptoms, diagnosis, and clinical outcomes. Study Design, Material and Methods:Retrospective chart review performed on patients diagnosed with isolated sphenoid sinus disease, undergoing endoscopic sinus surgery between January 2017 and December 2021. Results: 19 patients were included, with a mean age of 48.0 ± 18.7 years. The most common symptom was headache (38.9%) followed by nasal obstruction (33.3%). Cranial neuropathies occurred exclusively in the group of malignant neoplasms. Inflammatory etiology was the most frequent (57.9%) and included fungal sinusitis (27%), chronic rhinosinusitis (18%) and mucocele (5%). Conclusions: The diagnosis of isolated sphenoid lesions requires a high degree of suspicion since they can present with nonspecific symptoms. Early surgical intervention, for diagnostic or therapeutic purposes, is generally indicated, with nasosinusal endoscopic surgery being the most appropriate modality in most cases. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-18 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34631/sporl.1053 https://doi.org/10.34631/sporl.1053 |
url |
https://doi.org/10.34631/sporl.1053 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://journalsporl.com/index.php/sporl/article/view/2113 https://journalsporl.com/index.php/sporl/article/view/2113/121 https://journalsporl.com/index.php/sporl/article/view/2113/122 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2022 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
dc.source.none.fl_str_mv |
Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 60 No. 4 (2022): December; 363-368 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 60 Núm. 4 (2022): Dezembro; 363-368 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 60 N.º 4 (2022): Dezembro; 363-368 2184-6499 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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