Clinical features and surgical treatment of sphenoid sinus disease

Objective To investigate the clinical features of sphenoid sinus disease and the nasal endoscopic surgical treatment.Methods The clinical data and follow-up results were analyzed after surgery in 22 patients admitted to our department with sphenoid sinus disease;in these patients,15 cases were chronic sphenoid sinusitis,5cases of fungal sphenoid sinus,and two cases of sphenoid sinus cyst.The main symptoms manifested as unexplained headaches,sinus CT scan located the lesions and endoscopic sphenoidotomy was performed under anesthesia.Results There were no any complications during and after operation in all the patients.The patients were followed up from 6months to 2years,showing that the clinical symptoms disappeared and nasal cavity mucous membrane grew well,sphenoid sinus opening was good,without relapse of sphenoid sinus disease.ConclusionSinus CT scan and nasal endoscopy are very important for patients with unexplained headache.Endoscopic sphenoidotomy is minimally invasive and thorough debridement advantage of up to functional recovery,with less recurrence after surgery.