Sphenoid sinusitis is typically described as an acute inflammation of—either one or both—of the sphenoid sinuses (the two large cavities located directly behind the nose and set between the eyes). The condition is sometimes limited to the sphenoid cavities, which is typically referred to as isolated sphenoid sinusitis. However, in many cases, the inflammation can also affect multiple cavities throughout the sinuses, such as the ethmoid air cells or the maxillary sinuses.[*] Isolated sphenoid sinusitis is an uncommon condition, occurring in only about 2.7% of all reported sinus infections.[*] If left untreated, sphenoid sinusitis may cause severe complications, such as neurological symptoms, abscesses in the brain, and meningitis.[*] Chronic sphenoid sinusitis is identified when the inflammation of the infected area persist for more than a period of 12 weeks.[*]
Acute sphenoid sinusitis is commonly associated with bacterial infections, such as Haemophilus influenza and Streptococcus pneumonia (strep throat).[*][*] These types of infections typically develop as a result of a prior sinus condition, often initiated by a viral infection, such as the common cold or the flu. Sphenoid sinusitis can also be triggered by allergens or fungal infections that develop into sinus infections, spreading into the sphenoid cavities. If left untreated, the irritated tissues in the sinuses can present an ideal breeding ground for bacterial infections to develop.
Sphenoid sinusitis symptoms are similar to those of a typical sinus infection. However the most commonly reported symptom, leading to a diagnosis of sphenoid sinusitis, is the onset of a sinus headache, especially in the areas around the forehead and temples. There are several symptoms that can indicate the presence of sphenoid sinusitis, including:[*]
Sinus Problems? Natural Solutions That Work
Sphenoid sinusitis is typically treated with a broad-spectrum antibiotic to combat the bacterial infection—Streptococcus pneumonia—commonly at the root of the condition. Many sufferers also use over-the-counter medications, nasal sprays, and decongestants to help relieve sphenoid sinusitis symptoms, such as headaches, post nasal drip, and sinus pressure.[*] Many sphenoid sinusitis symptoms, such as post nasal drip and sinus congestion, can be treated with a nasal nebulizer. Nasal nebulizers deliver both prescription and over-the-counter medications deep within the sinuses to help treat and cure the underlying causes. They also work well with nasal safe saline solutions and moisturizers to provide relief from pain and irritation. Because sphenoid sinusitis has the potential to develop into severe neurological symptoms and physical complications, it’s important to seek early diagnosis and to start treatment right away.[*] When detected early, the majority of patients with sphenoid sinusitis respond well to treatment. However, if an infection is left unattended or if the infection is too serious, it may be necessary to turn to surgical treatment to prevent further medical complications.[*]
To help prevent the development of an isolated sphenoid sinus infection, it’s important to reduce exposure to harmful bacteria, viruses, allergens and other triggers that may irritate and inflame the sinus cavities. Here are some measures to help maintain a healthy, well-functioning nose:
In addition to these practices, rinsing (or “washing”) your sinuses on a daily basis with a nasal nebulizer can help reduce your exposure to potentially harmful viruses, bacteria, and allergens that are at the root cause of sphenoid sinusitis. Using a nasal safe saline solution allows you to cleanse and eliminate trapped particles and irritants inside your sinuses. While a moisturizing solution helps revitalize your sinuses and provide additional comfort.All articles published by are made immediately available worldwide under an open access license. No special permission is required to reuse all or part of the article published by , including figures and tables. For articles published under an open access Creative Common CC BY license, any part of the article may be reused without permission provided that the original article is clearly cited. For more information, please refer to https:///openaccess.
Ways To Treat Sphenoid Sinusitis
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By Sergei Karpishchenko Sergei Karpishchenko Scilit Preprints.org Google Scholar 1 , Olga Vereshchagina Olga Vereshchagina Scilit Preprints.org Google Scholar 1 , Olga Stancheva Olga Stancheva Scilit Preprints.org Google Scholar 1, * , Tatiana Nagornykh Tatiana Nagornykh Scilit Preprints.org Google Scholar 1 , Alexander Krasichkov Alexander Krasichkov Scilit Preprints.org Google Scholar 2 , Irina Serdiukova Irina Serdiukova Scilit Preprints.org Google Scholar 2 , Aleksandr Sinitca Aleksandr Sinitca Scilit Preprints.org Google Scholar 3, 4 and Dmitry Kaplun Dmitry Kaplun Scilit Preprints.org Google Scholar 4, 5
New Device To Combat Nasal Polyps Makes West Coast Debut
Isolated sphenoid sinusitis (ISS) is a group of pathologies characterized by inflammation in one or both sphenoid sinuses. The gold standard for analyzing and diagnosing ISS is computer tomography. Many researchers have discussed the treatment of patients with ISS variants such as fully opacified sinus, mostly with surgery. A retrospective analysis of clinical data of 59 patients (21 male (35%), 38 female (65%)) with ISS, who were treated in the Otorhinolaryngological Department of Pavlov First Saint Petersburg State Medical University between January 2017 and January 2020, was conducted. All patients were in the first stage of the same medical therapy. In cases where there was no recovery, these patients were referred to surgery. For the control group, we analyzed patients without any disorders according to CT-scan examination. After analyzing the obtained clinical and radiological data, we found indicators that were common in patients who did not recover after medical therapy. According to the reverse regression method statistical model, in male patients with a diffuse headache and nasal discharge it was shown that medical therapy was highly effective (more than 78%). The presence of nasal septum deviation and adenoids in male and female patients leads to the highest risk of surgical treatment (83% probability of the logistic model). The detailed analysis of CT-scans and the complaints of patients with ISS can be the key to determining the preferred therapy choice. Not all cases need to have an endoscopic opening of the sphenoid sinus, according to our research.
Sphenoid sinus disease is a pathology which is characterized by inflammation of the sphenoid sinus mucosa. As a rule, such changes in the sphenoid sinus are usually combined with another rhinological pathology. From all paranasal sinus pathologies, isolated sinusitis of the sphenoid occurs in 1–3% of all inflammatory cases [1]. The anatomical and topographical locations of the sphenoid sinus, as well as non-specific symptoms, result in late diagnosis of this disease. Among all complaints, the most common is headache in the retro-orbital and occipital areas (72%) [2]. The second most common complaint involves located visual disturbances such as diplopia, a progressive unilateral vision loss, and depressing of the visual fields on the side of the lesion. Ophthalmological symptoms accounted for 21% of patients with isolated sphenoid sinusitis [3]. Rhinological manifestations of the disease include post-nasal drip and epistaxis. Thus, patients are under the supervision of doctors of related specialties for a long time, such as ophthalmologists, neurologists and other specialists [4].
Diagnosis of isolated sphenoid sinusitis is based on anamnesis, endoscopic examination of the sphenoethmoidal area, and also on computer and magnetic resonance imaging [5]. The last study is usually prescribed by neurologists as an additional diagnostic method for unknown cephalgia [6]. The gold standard in the diagnosis of ISS is computed tomography of the sinuses [7]. With the use of this method, it is possible to assess the bony borders of the sinus and adjacent intranasal structures [8]. The existing nasal septum deviation, or hypertrophy of the middle or superior turbinate, can predispose a patient to hypoventilation of the sinus, and a violation of its drainage function. In such a situation, the delivery of drugs directly to the sinus will be difficult and ineffective [5].
Endoscopic Sinus Surgery For Chronic Sinusitis
Primary assessment revealed that total opacification of the sphenoid according CT-scans with clinical manifestations should be treated with the use of saline irrigation, antibiotics, topical corticosteroids and surgical interventions, if there are indications [1]. There is a well-known technique of irrigation using the Dolphin system, during which the patient is in the nose-to-ceiling and then the nose-to floor head position [9]. Such a method is proven to be useful for sphenoid sinus irrigation. In non-complicated cases, after 7–14 days of treatment the control CT-scan is allowed to be performed [10]. Absence of recovery indicates that surgical intervention is needed.
There are several approaches for treating the sphenoid sinus opening. The most common of them are the following: endoscopic endonasal, endoscopic transseptal and endoscopic transethmoidal approaches [8, 11]. In the case of an isolated pathology of the sphenoid sinus, the first two methods are considered the most optimal, since they do not require destruction of other intranasal structures. If the patient
Isolated sphenoid sinusitis (ISS) is a group of pathologies characterized by inflammation in one or both sphenoid sinuses. The gold standard for analyzing and diagnosing ISS is computer tomography. Many researchers have discussed the treatment of patients with ISS variants such as fully opacified sinus, mostly with surgery. A retrospective analysis of clinical data of 59 patients (21 male (35%), 38 female (65%)) with ISS, who were treated in the Otorhinolaryngological Department of Pavlov First Saint Petersburg State Medical University between January 2017 and January 2020, was conducted. All patients were in the first stage of the same medical therapy. In cases where there was no recovery, these patients were referred to surgery. For the control group, we analyzed patients without any disorders according to CT-scan examination. After analyzing the obtained clinical and radiological data, we found indicators that were common in patients who did not recover after medical therapy. According to the reverse regression method statistical model, in male patients with a diffuse headache and nasal discharge it was shown that medical therapy was highly effective (more than 78%). The presence of nasal septum deviation and adenoids in male and female patients leads to the highest risk of surgical treatment (83% probability of the logistic model). The detailed analysis of CT-scans and the complaints of patients with ISS can be the key to determining the preferred therapy choice. Not all cases need to have an endoscopic opening of the sphenoid sinus, according to our research.
Sphenoid sinus disease is a pathology which is characterized by inflammation of the sphenoid sinus mucosa. As a rule, such changes in the sphenoid sinus are usually combined with another rhinological pathology. From all paranasal sinus pathologies, isolated sinusitis of the sphenoid occurs in 1–3% of all inflammatory cases [1]. The anatomical and topographical locations of the sphenoid sinus, as well as non-specific symptoms, result in late diagnosis of this disease. Among all complaints, the most common is headache in the retro-orbital and occipital areas (72%) [2]. The second most common complaint involves located visual disturbances such as diplopia, a progressive unilateral vision loss, and depressing of the visual fields on the side of the lesion. Ophthalmological symptoms accounted for 21% of patients with isolated sphenoid sinusitis [3]. Rhinological manifestations of the disease include post-nasal drip and epistaxis. Thus, patients are under the supervision of doctors of related specialties for a long time, such as ophthalmologists, neurologists and other specialists [4].
Diagnosis of isolated sphenoid sinusitis is based on anamnesis, endoscopic examination of the sphenoethmoidal area, and also on computer and magnetic resonance imaging [5]. The last study is usually prescribed by neurologists as an additional diagnostic method for unknown cephalgia [6]. The gold standard in the diagnosis of ISS is computed tomography of the sinuses [7]. With the use of this method, it is possible to assess the bony borders of the sinus and adjacent intranasal structures [8]. The existing nasal septum deviation, or hypertrophy of the middle or superior turbinate, can predispose a patient to hypoventilation of the sinus, and a violation of its drainage function. In such a situation, the delivery of drugs directly to the sinus will be difficult and ineffective [5].
Endoscopic Sinus Surgery For Chronic Sinusitis
Primary assessment revealed that total opacification of the sphenoid according CT-scans with clinical manifestations should be treated with the use of saline irrigation, antibiotics, topical corticosteroids and surgical interventions, if there are indications [1]. There is a well-known technique of irrigation using the Dolphin system, during which the patient is in the nose-to-ceiling and then the nose-to floor head position [9]. Such a method is proven to be useful for sphenoid sinus irrigation. In non-complicated cases, after 7–14 days of treatment the control CT-scan is allowed to be performed [10]. Absence of recovery indicates that surgical intervention is needed.
There are several approaches for treating the sphenoid sinus opening. The most common of them are the following: endoscopic endonasal, endoscopic transseptal and endoscopic transethmoidal approaches [8, 11]. In the case of an isolated pathology of the sphenoid sinus, the first two methods are considered the most optimal, since they do not require destruction of other intranasal structures. If the patient
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