Tang Ing Ping, Brand Yves, Prepageran Narayanan
aDepartment of Otorhinolaryngology, Faculty of Medicine, University Malaysia Sarawak, Kota Samarahan, Sarawak bDepartment of Otorhinolaryngology, University Malaya Medical Centre, University of Malaya, Kuala Lumpur, Selangor, Malaysia.
Curr Opin Otolaryngol Head Neck Surg. 2016 Feb;24(1):43-9. doi: 10.1097/MOO.0000000000000218.
To review cause, clinical evaluation, medical and surgical management of isolated sphenoid sinus diseases.
Early diagnosis of isolated sphenoid sinus diseases requires a high index of clinical suspicion and appropriate radiological imaging. Sphenoid sinus can be approached endoscopically via a few different surgical techniques.
Isolated sphenoid sinus diseases are uncommon, with nonspecific clinical presentation. Early diagnosis requires a high index of clinical suspicion, proper endoscopic nasal examination, and appropriate radiological imaging. Surgical intervention is the primary treatment modality for most of the isolated sphenoid sinus diseases. Endoscopic endonasal approach to sphenoid sinus is the technique of choice. The location of sphenoid sinus disease, the extent of the surgery, and anatomic configuration of the sphenoid sinus are the main factors that help to decide the most suitable surgical approach to the sphenoid sinus.
回顾孤立性蝶窦疾病的病因、临床评估、内科及外科治疗。
孤立性蝶窦疾病的早期诊断需要高度的临床怀疑指数及合适的影像学检查。蝶窦可通过几种不同的手术技术经鼻内镜进行处理。
孤立性蝶窦疾病并不常见，临床表现不具特异性。早期诊断需要高度的临床怀疑指数、适当的鼻内镜检查及合适的影像学检查。手术干预是大多数孤立性蝶窦疾病的主要治疗方式。经鼻内镜蝶窦入路是首选技术。蝶窦疾病的位置、手术范围及蝶窦的解剖结构是有助于决定最适合蝶窦手术入路的主要因素。
