Choi So Young, Choi Myoung Su
Department of Radiology, Eulji University Medical Center, Eulji University, Daejeon, South Korea.
Department of Otolaryngology-Head and Neck Surgery, Eulji University Medical Center, Eulji University, Daejeon, South Korea.
Int J Pediatr Otorhinolaryngol. 2014 Apr;78(4):684-6. doi: 10.1016/j.ijporl.2013.12.040. Epub 2014 Jan 8.
Isolated sphenoiditis is an uncommon disease, particularly in children. Immediate antibiotic therapy and/or endoscopic transnasal sphenoidotomy should be performed to avoid fatal complications. However, the commonly used transnasal route is not always available in children with a cleft lip and deviated nasal septum. We report a case of acute isolated sphenoid sinusitis in a 12-year-old boy with a cleft lip and deviated nasal septum. This patient underwent combined endoscopic transnasal and intrasphenoidal septal surgery and improved without septoplasty, which may affect the later growth of the nose.