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Higgins TS, Shutt TA, Ting JY, Illing EA, Tang DM, Kosaraju N, Potts K, Cash L, Liu D, Sheeley KA, Wu AW. Development of the 12-Item Facial Complaints Evaluation Scale (FaCES-12). Ann Otol Rhinol Laryngol 2024; 133:495-502. [PMID: 38380629 PMCID: PMC11022522 DOI: 10.1177/00034894241233034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Abstract
OBJECTIVES Chronic rhinosinusitis and related rhinologic disorders are common in routine otolaryngologic practice. Common presenting symptoms include nasal obstruction, facial pain, facial pressure, headache, and a subjective feeling of the face feeling "swollen," a perceptual distortion. No validated scale exists to assess facial pain in addition to perceptual distortion or headache. The objective was to develop a novel scale for assessment of facial symptoms experienced by patients presenting for rhinologic evaluation. METHODS This was a prospective validation cross-sectional study. A patient questionnaire, the 12-item Facial Complaints Evaluation Scale (FaCES-12), was created to evaluate facial symptoms based on clinical experience and the literature, including severity and timing of facial pain, facial pressure, facial perceptual swelling, and headache. Each item was assessed utilizing an 11-point Likert scale ranging from 0 to 10 in severity. Data was collected prospectively from 210 patients in 1 private and 2 academic otolaryngologic practices from August to December 2019 along with the PROMIS Pain Intensity Scale 3a and 22-Item Sino-nasal Outcome Test. Construct validity was determined using Pearson correlation and exploratory factor analysis. Internal consistency and test-retest reliability were assessed by calculating Cronbach's alpha and assessing test-retest scores. RESULTS A new 12-item scale named FaCES-12 was developed. FaCES-12 demonstrated high reliability with a Cronbach's alpha of .94 and high test-retest reliability (r = .90). The scale revealed very strong correlation with the PROMIS Pain Intensity Scale 3a (r = .81) and moderate correlation with the Sino-nasal Outcome Test (r = .48). Exploratory factor analysis demonstrated the scale contained interrelated variables that measured unique components of facial sensations. CONCLUSION The FaCES-12 is a valid and reliable instrument for use in the evaluation of facial symptoms. Further research into the application of this scale is warranted.
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Affiliation(s)
- Thomas S. Higgins
- Department of Otolaryngology—Head and Neck Surgery, University of Louisville School of Medicine, Louisville, KY, USA
- Rhinology, Sinus & Skull Base, Kentuckiana Ear, Nose & Throat, Louisville, KY, USA
| | - Travis A. Shutt
- Department of Otolaryngology—Head and Neck Surgery, University of Louisville School of Medicine, Louisville, KY, USA
| | - Jonathan Y. Ting
- Department of Otolaryngology—Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Elisa A. Illing
- Department of Otolaryngology—Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Dennis M. Tang
- Department of Otolaryngology—Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - Nikitha Kosaraju
- David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA
| | - Kevin Potts
- Department of Otolaryngology—Head and Neck Surgery, University of Louisville School of Medicine, Louisville, KY, USA
| | - Liz Cash
- Department of Otolaryngology—Head and Neck Surgery, University of Louisville School of Medicine, Louisville, KY, USA
| | - David Liu
- Department of Otolaryngology—Head and Neck Surgery, University of Louisville School of Medicine, Louisville, KY, USA
| | - Kathleen A. Sheeley
- Rhinology, Sinus & Skull Base, Kentuckiana Ear, Nose & Throat, Louisville, KY, USA
| | - Arthur W. Wu
- Department of Otolaryngology—Head and Neck Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA
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Chang SY, Huang CC, Fan YH, Wu PW, Lee TJ, Chang PH, Huang CC. Identifying the Risk Factors for Orbital Complications in Isolated Sphenoid Rhinosinusitis. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:128. [PMID: 38256389 PMCID: PMC10818769 DOI: 10.3390/medicina60010128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/26/2023] [Revised: 01/06/2024] [Accepted: 01/09/2024] [Indexed: 01/24/2024]
Abstract
Background and Objectives: Isolated sphenoid rhinosinusitis may have devastating consequences such as orbital complications due to its anatomical contiguity with vital structures. This study aimed to identify patients with isolated sphenoid inflammatory diseases at high risk for developing orbital complications and requiring aggressive management through investigation of the clinical and computed tomography (CT) characteristics of patients with isolated sphenoid rhinosinusitis. Materials and Methods: The medical records of patients who underwent endoscopic sinus surgery between 2005 and 2022 were retrospectively reviewed. Patients with isolated sphenoid rhinosinusitis were identified based on a manual review of the clinical and histopathological findings. Participants' clinical and CT features were reviewed. Results: Among the 118 patients with isolated sphenoid rhinosinusitis, 15 (12.7%) developed orbital complications, including diplopia, extraocular motility limitation, ptosis, and visual impairment. Headaches and facial pain occurred significantly more frequently in patients with orbital complications than in those without orbital complications (p < 0.001). Patients with diabetes mellitus or malignant neoplasms were more likely to develop orbital complications than those without these comorbidities (p < 0.05). Bony dehiscence on CT images was significantly more common in patients with orbital complications than in those without. In the regression analysis, diabetes mellitus (OR, 4.62), malignant neoplasm (OR, 4.32), and bony dehiscence (OR, 4.87) were significant predictors of orbital complications (p < 0.05). Conclusions: Headaches and facial pain are the most common symptoms of isolated sphenoid rhinosinusitis. Orbital complications of isolated sphenoid rhinosinusitis are more common in patients with comorbidities such as diabetes mellitus or malignancy or in those with bony dehiscence on CT images.
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Affiliation(s)
- Shiaw-Yu Chang
- Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan 333, Taiwan; (S.-Y.C.); (C.-C.H.); (Y.-H.F.); (P.-W.W.); (T.-J.L.); (P.-H.C.)
| | - Chi-Che Huang
- Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan 333, Taiwan; (S.-Y.C.); (C.-C.H.); (Y.-H.F.); (P.-W.W.); (T.-J.L.); (P.-H.C.)
- School of Medicine, Chang Gung University, Taoyuan 333, Taiwan
| | - Yu-Hsi Fan
- Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan 333, Taiwan; (S.-Y.C.); (C.-C.H.); (Y.-H.F.); (P.-W.W.); (T.-J.L.); (P.-H.C.)
| | - Pei-Wen Wu
- Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan 333, Taiwan; (S.-Y.C.); (C.-C.H.); (Y.-H.F.); (P.-W.W.); (T.-J.L.); (P.-H.C.)
- School of Medicine, Chang Gung University, Taoyuan 333, Taiwan
| | - Ta-Jen Lee
- Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan 333, Taiwan; (S.-Y.C.); (C.-C.H.); (Y.-H.F.); (P.-W.W.); (T.-J.L.); (P.-H.C.)
- School of Medicine, Chang Gung University, Taoyuan 333, Taiwan
- Department of Otolaryngology, Xiamen Chang Gung Hospital, Xiamen 361028, China
| | - Po-Hung Chang
- Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan 333, Taiwan; (S.-Y.C.); (C.-C.H.); (Y.-H.F.); (P.-W.W.); (T.-J.L.); (P.-H.C.)
| | - Chien-Chia Huang
- Division of Rhinology, Department of Otolaryngology, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan 333, Taiwan; (S.-Y.C.); (C.-C.H.); (Y.-H.F.); (P.-W.W.); (T.-J.L.); (P.-H.C.)
- School of Medicine, Chang Gung University, Taoyuan 333, Taiwan
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Yap HJ, Ramli RR, Yeoh ZX, Sachlin IS. Series of isolated sphenoid disease: Often neglected but perilous. SAGE Open Med Case Rep 2022; 10:2050313X221097757. [PMID: 35646372 PMCID: PMC9130846 DOI: 10.1177/2050313x221097757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 04/13/2022] [Indexed: 12/04/2022] Open
Abstract
Isolated sphenoid sinus disease (ISSD) is an uncommon entity and may present with
non-specific symptoms. As sphenoid sinus is located adjacent to vital structures, a
diseased sphenoid sinus can potentially lead to devastating complications such as cranial
neuropathies, cavernous sinus thrombosis and intracranial abscess. Herein, we report a
case series of three patients who presented with different localization of headache as
their main symptom. Endoscopic nasal assessment showed abnormal nasal cavity findings with
mucosal thickening and soft tissue mass occupying the sphenoid sinus revealed by computed
tomography (CT) scan. All the sphenoid sinuses were drained via endoscopic approach. Post
operatively, antibiotics or anti-fungal were given, however, these three cases displayed
the possible variation in severity of this disease. Case 1 had an uncomplicated
inflammatory disease of the sphenoid sinus, which is of bacterial origin, while the other
two cases had fungal infection. Case 2 achieved disease stability with anti-fungal
treatment, but Case 3 had a serious complication after treatment with permanent vision
loss. A patient who presents with atypical headache, not responsive to analgesia should be
investigated promptly with nasal endoscopic examination and radiological imaging for
isolated sphenoid sinus disease to avoid devastating complications.
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Affiliation(s)
- Hui Jean Yap
- Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Sains Malaysia, Kampus Kesihatan, Kota Bharu, Malaysia
| | - Ramiza Ramza Ramli
- Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Sains Malaysia, Kampus Kesihatan, Kota Bharu, Malaysia
| | - Zhi Xiang Yeoh
- Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia
| | - Ida Sadja’ah Sachlin
- Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia
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4
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Solitary Sphenoid Sinus Lesion Presenting as Chronic Headache. J Craniofac Surg 2022; 33:886-888. [DOI: 10.1097/scs.0000000000008242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Wu AW, Borrelli M, Raskin J, Hopp ML, Mirocha J, Tang DM. Correlation of chronic rhinosinusitis-related symptoms with CT subsite. Int Forum Allergy Rhinol 2021; 12:791-794. [PMID: 34694704 DOI: 10.1002/alr.22920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 09/19/2021] [Accepted: 10/13/2021] [Indexed: 11/12/2022]
Affiliation(s)
- Arthur W Wu
- Cedars-Sinai Sinus Center of Excellence, Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA
| | - Michela Borrelli
- Cedars-Sinai Sinus Center of Excellence, Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA
| | - Jonathan Raskin
- Cedars-Sinai Sinus Center of Excellence, Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA
| | - Martin L Hopp
- Cedars-Sinai Sinus Center of Excellence, Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA
| | - James Mirocha
- Biostatistics and Bioinformatics Research Center, Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA
| | - Dennis M Tang
- Cedars-Sinai Sinus Center of Excellence, Division of Otolaryngology, Cedars-Sinai Medical Center, Los Angeles, CA, 90048, USA
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6
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Chao CC, Lin YT, Lin CF, Chiang CW, Lin HC, Yeh TH. The clinical features of endoscopic treated isolated sphenoid sinus diseases. J Formos Med Assoc 2020; 120:1554-1562. [PMID: 33246742 DOI: 10.1016/j.jfma.2020.11.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 09/27/2020] [Accepted: 11/12/2020] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Isolated sphenoid sinus disease (ISSD) is a rare clinical entity with potentially serious complications. The etiological distribution of ISSD varies among different areas and ethnicities. We aimed to investigate the clinical features of patients with endoscopic treated ISSD. METHODS We retrospectively reviewed all patients with ISSD who had undergone endoscopic surgery between April 2013 and May 2019. The patient records were reviewed for demographic data, clinical presentations, endoscopic and imaging study findings, surgical outcomes and complications. RESULTS A total of 37 patients with ISSD who underwent surgery were recruited. We divided patients into three groups according to etiology, including inflammatory diseases (78.4%), neoplasms (13.5%) and spontaneous cerebrospinal fluid (CSF) leaks (8.1%); fungal ball (62.2%) constituted the major cause of ISSD. Overall, the most common presenting symptom was headache or facial pain (65.5%). The endoscopic findings of bloody discharge and tumor lesions were mainly from the neoplasm group. Bony defects were more obvious on computed tomography in the neoplasm and CSF leak groups. Magnetic resonance imaging revealed a higher rate of involvement of the cavernous sinus (40.0%) and intracranial extensions (40.0%) in the neoplasm group. To summarize the surgical outcomes, the success rate was 97.1%, and the major complication rate was 5.4%. CONCLUSION ISSD represents a variety of etiologies, mostly comprising fungal ball in our area, while there is still a considerable proportion of ISSDs attributed to neoplasm and CSF leak. Untreated ISSD can result in serious complications. We recommend early surgical intervention for all patients with ISSD.
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Affiliation(s)
- Chih-Chen Chao
- Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan; Department of Otolaryngology, Lo-Hsu Medical Foundation Lotung Poh-Ai Hospital, Yilan, Taiwan
| | - Yi-Tsen Lin
- Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan
| | - Chih-Feng Lin
- Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan
| | - Ching-Wen Chiang
- Department of Otolaryngology, Lo-Hsu Medical Foundation Lotung Poh-Ai Hospital, Yilan, Taiwan
| | - Hsuan-Chih Lin
- Department of Otolaryngology, Lo-Hsu Medical Foundation Lotung Poh-Ai Hospital, Yilan, Taiwan
| | - Te-Huei Yeh
- Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
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7
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Abstract
PURPOSE OF REVIEW To explain our current understanding of headache attributed to rhinosinusitis, an often inappropriately diagnosed secondary headache. RECENT FINDINGS Recent studies have shown that headache attributed to rhinosinusitis is often over-diagnosed in patients who actually have primary headache disorders, most commonly migraine. Failure to recognize and treat rhinosinusitis, however, can have devastating consequences. Abnormalities of the sinuses may also be treatable by surgical means, which may provide headache relief in appropriately selected patients. SUMMARY It is important for the practicing physician to understand how rhinosinusitis fits into the differential diagnosis of headache, both to avoid overdiagnosis in patients with primary headache, and to avoid underdiagnosis in patients with serious sinus disease.
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8
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Sumaily I, Alarifi I, Alahmari A, Aloulah M, Alsaleh S. Sphenoid Sinus Involvement in Chronic Rhinosinusitis Without Polyps. ALLERGY & RHINOLOGY 2020; 11:2152656720934472. [PMID: 32596024 PMCID: PMC7298207 DOI: 10.1177/2152656720934472] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Background Chronic rhinosinusitis (CRS) is a common chronic disease. It has 2 main
clinical subtypes: CRS with nasal polyposis (CRSwNP) and without nasal
polyps (CRSsNP). The sphenoid sinus appears to be less frequently involved
in CRSsNP cases. Thus, we aimed to compare the incidence of sphenoid sinus
involvement between CRSsNP and CRSwNP cases. Methods A retrospective chart review of CRS cases was performed. The clinical and
imaging findings, including age, sex, adenoid, and inferior turbinate
hypertrophy (ITH), deviation of the nasal septum (DNS), presence of polyps,
Lund–McKay scores, and the final diagnosis, were assessed. The incidence of
sphenoid sinus involvement in each CRS subtype and its correlation with the
aforementioned variables were studied. Results Of the 289 cases, 151 met the inclusion criteria including 82 CRSwNP and 69
CRSsNP cases. The mean patient age was 35.48 ± 11.88 years. The incidence of
men and women were 66.9% and 33.1%, respectively. The sphenoid sinus
involvement was 89% and 65.2% in the CRSwNP and CRSsNP cases
(P = .0001), respectively. The involvement of other
paranasal sinuses showed no statistically significant differences between
the 2 phenotypes. No other evaluated variables, including age, gender, DNS,
ITH, or adenoid hypertrophy, significantly correlated with the incidence of
sphenoid sinus involvement. Conclusions This is the first study to demonstrate that the sphenoid sinus is less
frequently involved in CRSsNP cases. Further studies should investigate the
underlying factors causing the lower incidence of sphenoid sinus involvement
in CRSsNP.
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Affiliation(s)
- Ibrahim Sumaily
- Otolaryngology-Head & Neck Surgery Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Ibrahim Alarifi
- Otolaryngology-Head & Neck Surgery Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Abdussalam Alahmari
- Otolaryngology-Head & Neck Surgery Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Mohammad Aloulah
- Otolaryngology-Head & Neck Surgery Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Saad Alsaleh
- Otolaryngology-Head & Neck Surgery Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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9
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Ishak NL, Subha ST, Abu Bakar S. Isolated sphenoid sinusitis: A big headache. MALAYSIAN FAMILY PHYSICIAN : THE OFFICIAL JOURNAL OF THE ACADEMY OF FAMILY PHYSICIANS OF MALAYSIA 2019; 14:29-30. [PMID: 31289629 PMCID: PMC6612268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- N L Ishak
- MC BCh BAO (Ireland), MS ORL-HNS (UKM), Faculty of Medicine and Health Sciences, Universiti Putra Malaysia Malaysia.
| | - S T Subha
- MBBS (India) MS ORL-HNS (UM) Faculty of Medicine and Health Sciences, Universiti Putra Malaysia Malaysia
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Wang PP, Ge WT, Ni X, Tang LX, Zhang J, Yang XJ, Sun JH. Endoscopic Treatment of Isolated Sphenoid Sinus Disease in Children. EAR, NOSE & THROAT JOURNAL 2019; 98:425-430. [PMID: 31012343 DOI: 10.1177/0145561319841227] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
In this article, we explore the disease spectrum and clinical characteristics of and the diagnosis and endoscopic approach to treating isolated sphenoid sinus disease (ISSD) in children. To these ends, we review a case series of 19 patients (mean age: 8.1 ± 4.9 years, range: 1.1-15 years, median age: 6.7 years, 13 males, 6 females) who underwent surgical treatment at our hospital for ISSD during the 4 years between 2012 and 2016. The symptoms of pediatric sphenoid sinus disease tend to be variable and nonspecific and include atypical headache, nasal congestion, epistaxis, postnasal drip, snoring, and impaired vision. Headache is the presenting symptom in 42% of patients, but headaches occurred in no specific or typical location. Ten patients underwent preoperative endoscopic examination, and abnormalities in the sphenoethmoidal recess were found in 6 (60%) of these 10 patients. All 19 patients underwent ultra-low-dose paranasal sinus computed tomography (CT) imaging, and 9 patients with suspected tumors or sphenoid mucoceles were further examined by magnetic resonance imaging (MRI). The endoscopic transostial approach was performed in all 19 patients: 16 patients received excision of inflammatory sphenoid sinus disorders and benign tumors, including sphenoid sinusitis, sphenoid sinus mucocele, sphenoid sinus polyp, and ossifying fibroma; 3 patients with suspected tumors received biopsies to detect rhabdomyosarcoma, Langerhans cell histiocytosis, and juvenile xanthogranuloma. No intraoperative or immediate postoperative complications were observed. Children with opacified sphenoid sinus identified by radiographic imaging presented a variety of pathologies. The most common lesions were associated with inflammatory disease. Because the symptoms of pediatric sphenoid sinus disease tend to be variable and nonspecific, CT remains the standard for evaluating sphenoid sinus disease, and ultra-low-dose paranasal sinus CT imaging is recommended and can provide images of equal or better quality compared with those obtained by standard dose CT. In addition, MRI is an essential adjunct in the diagnosis and selection of treatment for suspected tumors of the sphenoid sinus. The endoscopic transostial approach was especially suitable for the management of pediatric benign isolated sphenoid sinus lesions.
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Affiliation(s)
- Peng-Peng Wang
- 1 Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Xi Cheng District, Beijing, People's Republic of China
| | - Wen-Tong Ge
- 1 Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Xi Cheng District, Beijing, People's Republic of China
| | - Xin Ni
- 1 Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Xi Cheng District, Beijing, People's Republic of China
| | - Li-Xing Tang
- 1 Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Xi Cheng District, Beijing, People's Republic of China
| | - Jie Zhang
- 1 Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Xi Cheng District, Beijing, People's Republic of China
| | - Xiao-Jian Yang
- 1 Department of Otorhinolaryngology, Head and Neck Surgery, Beijing Children's Hospital, Capital Medical University, Xi Cheng District, Beijing, People's Republic of China
| | - Ji-Hang Sun
- 2 Imaging Center, Beijing Children's Hospital, Capital Medical University, Xi Cheng District, Beijing, People's Republic of China
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Hilmioğlu-Polat S, Seyedmousavi S, Ilkit M, Hedayati MT, Inci R, Tumbay E, Denning DW. Estimated burden of serious human fungal diseases in Turkey. Mycoses 2018; 62:22-31. [PMID: 30107069 DOI: 10.1111/myc.12842] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2018] [Revised: 08/09/2018] [Accepted: 08/09/2018] [Indexed: 02/05/2023]
Abstract
The current number of fungal infections occurring each year in Turkey is unknown. We estimated the burden of serious human fungal diseases based on the population at risk, existing epidemiological data from 1920 to 2017 and modelling previously described by the LIFE program (http://www.LIFE-worldwide.org). Among the population of Turkey (80.8 million in 2017), approximately 1 785 811 (2.21%) people are estimated to suffer from a serious fungal infection each year. The model used predicts high prevalences of allergic fungal rhinosinusitis episodes (312 994 cases) (392/100 000), of severe asthma with fungal sensitisation (42 989 cases) (53.20 cases/100 000 adults per year), of allergic bronchopulmonary aspergillosis (32 594 cases) (40.33/100 000), of fungal keratitis (26 671 cases) (33/100 000) and of chronic pulmonary aspergillosis (5890 cases) (7.29/100 000). The estimated annual incidence for invasive aspergillosis is lower (3911 cases) (4.84/100 000 annually). Among about 22.5 million women aged 15-50 years, recurrent vulvovaginal candidiasis is estimated to occur in 1 350 371 (3342/100 000) females. The burden of three superficial fungal infections was also estimated: tinea pedis (1.79 million), tinea capitis (43 900) and onychomycosis (1.73 million). Given that the modelling estimates reported in the current study might be substantially under- or overestimated, formal epidemiological and comprehensive surveillance studies are required to validate or modify these estimates.
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Affiliation(s)
| | - Seyedmojtaba Seyedmousavi
- Molecular Microbiology Section, Laboratory of Clinical Immunology and Microbiology (LCIM), National Institute of Allergy and Infectious Diseases (NIAID), National Institutes of Health (NIH), Bethesda, MD, United States of America.,Invasive Fungi Research Center, Mazandaran University of Medical Sciences, Sari, Iran.,Center of Expertise in Microbiology, Infection Biology and Antimicrobial Pharmacology, Tehran, Iran
| | - Macit Ilkit
- Division of Mycology, Department of Microbiology, Faculty of Medicine, University of Çukurova, Adana, Turkey
| | - Mohammad Taghi Hedayati
- Invasive Fungi Research Center, Mazandaran University of Medical Sciences, Sari, Iran.,Department of Medical Mycology and Parasitology, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ramazan Inci
- Department of Microbiology, Faculty of Medicine, University of Ege, Izmir, Turkey
| | - Emel Tumbay
- Department of Microbiology, Faculty of Medicine, University of Ege, Izmir, Turkey
| | - David W Denning
- The National Aspergillosis Centre, Wythenshawe Hospital, The University of Manchester, Manchester Academic Health Science Centre, Manchester, UK
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Jun YJ, Kwon KY. A middle-aged man with lying-down headache: an unusual presentation of sphenoid sinus mucocele. Acta Neurol Belg 2018; 118:315-317. [PMID: 28602007 DOI: 10.1007/s13760-017-0807-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2017] [Accepted: 06/03/2017] [Indexed: 10/19/2022]
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13
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Moss WJ, Finegersh A, Jafari A, Panuganti B, Coffey CS, DeConde A, Husseman J. Isolated sphenoid sinus opacifications: a systematic review and meta-analysis. Int Forum Allergy Rhinol 2017; 7:1201-1206. [PMID: 29024448 DOI: 10.1002/alr.22023] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2017] [Revised: 09/06/2017] [Accepted: 09/13/2017] [Indexed: 11/06/2022]
Abstract
BACKGROUND Isolated sphenoid sinus opacifications (ISSOs) represent a relatively uncommon disease with the potential for serious complications. To better understand this disease, we performed a systematic review to further characterize the underlying pathologies, associated symptoms, and treatment outcomes of patients with ISSOs. METHODS A systematic review of ISSO case series was performed utilizing the Medline, Embase, Web of Science, and Cochrane databases in accordance with guidelines established by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Data of interest included disease pathology, associated symptoms, and treatment outcomes. RESULTS Of the initial 1051 hits from the 4 databases, 17 articles, with a combined 1133 ISSO patients, were ultimately included in the review. On a weighted analysis, the underlying pathologies were classified as chronic rhinosinusitis without nasal polyps (CRSsNP) (28.3%), mucoceles (20.3%), fungal sinusitis (12.5%), malignant neoplasms (7.7%), intracranial lesions (7.0%), benign neoplasms (5.7%), chronic rhinosinusitis with nasal polyps (CRSwNP) (3.4%), and other lesions (4.7%). Cranial neuropathies were present in 16.3% (95% confidence interval [CI], 10.1-22.5%) of ISSO patients. A favorable surgical complication rate of 1.5% (95% CI, -0.1% to 3.2%) was found in patients undergoing surgery for an ISSO. CONCLUSION ISSOs are caused by diverse pathologies. Given the considerable rates of neoplastic disease and cranial neuropathies, patients affected by an ISSO should be monitored closely and treated aggressively. Prompt surgical intervention, with either diagnostic or therapeutic intent, is often indicated.
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Affiliation(s)
- William J Moss
- Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of California, San Diego, San Diego, CA
| | - Andrey Finegersh
- Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of California, San Diego, San Diego, CA
| | - Aria Jafari
- Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of California, San Diego, San Diego, CA
| | - Bharat Panuganti
- Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of California, San Diego, San Diego, CA
| | - Charles S Coffey
- Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of California, San Diego, San Diego, CA.,Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, VA San Diego Healthcare System, La Jolla, CA
| | - Adam DeConde
- Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of California, San Diego, San Diego, CA
| | - Jacob Husseman
- Department of Surgery, Division of Otolaryngology-Head & Neck Surgery, University of California, San Diego, San Diego, CA
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Sphenoid Sinus Diseases: A Review of 1,442 Patients. Int J Otolaryngol 2017; 2017:9650910. [PMID: 29090009 PMCID: PMC5635283 DOI: 10.1155/2017/9650910] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2017] [Accepted: 08/15/2017] [Indexed: 11/29/2022] Open
Abstract
Objective To review and report diseases of the sphenoid sinus from the literature and from a university hospital. Methods Inpatients' data were retrospectively gathered and reviewed from January 2006 to June 2016. Clinical data, imaging, organisms, and pathological reports were collected. Pathology was divided into infection/inflammation, tumor, and miscellaneous. A literature review was performed with the search term “isolated sphenoid disease” in PubMed. Original primary studies with 20 patients or more were reviewed. Results and Discussion One hundred and twenty-two patients were enrolled. Seventy-two subjects were female (59%). The average age was 54.3 years (±18.0). Imaging abnormalities were found incidentally in 27 patients (22.1%). The most common symptom was headache (63.9%). Visual loss, the second most common symptom, was more frequent in the tumor group (30.6% versus 54.2%). From the literature review, 21 primary studies with 1,320 total patients were included. From all studies and the present study, infection/inflammation was the most common pathology (75%) [95% confidence interval (CI): 0.696, 0.804]. Overall, tumors were found in 18.9% and malignant tumors in 7.0% [95% CI: 0.045, 0.095]. Conclusion A specific diagnosis of a sphenoid lesion is needed during active investigation. Infection/inflammation was the most common pathology and malignancy was found in 7%.
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