Isolated inflammatory sphenoid sinus disease in children

Brent A. Uren, Robert G. Berkowitz*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    14 Citations (Scopus)

    Abstract

    Isolated inflammatory disease of the sphenoid sinus is very uncommon in the pediatric population. A 10-year review of all patients at our institution 16 years of age or younger with inflammatory sphenoid sinus disease found 8 patients with isolated sphenoid sinusitis and 3 with sphenoid mucoceles. The most common symptoms were headache and visual disturbance. Five patients with uncomplicated sinusitis were successfully managed medically, while 3 with either complicated sinusitis or sinusitis not responding to antibiotics were treated by endoscopic sphenoidotomy. All patients with a mucocele were treated surgically. Isolated inflammatory sphenoid sinusitis should be considered in children age 7 years or older who present with headache that does not respond to simple analgesia. Delayed diagnosis and advanced disease may lead to life-threatening complications.

    Original languageEnglish
    Pages (from-to)370-372
    Number of pages3
    JournalAnnals of Otology, Rhinology and Laryngology
    Volume112
    Issue number4
    Publication statusPublished - 1 Apr 2003

    Keywords

    • Mucocele
    • Sinusitis
    • Sphenoid sinus
    • Sphenoidotomy

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