Alabdulaal Maria, AlMuhanna Zahra, AlNaimi Shaykhah, Alkhatib Abdulrhaman, Almomen Ali
Department of Otolaryngology-Head and Neck Surgery, King Fahad Specialist Hospital, Dammam 32253, Saudi Arabia.
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Fahd Hospital of the University, Al-Khobar 34445, Saudi Arabia.
J Surg Case Rep. 2025 Jan 9;2025(1):rjae844. doi: 10.1093/jscr/rjae844. eCollection 2025 Jan.
Isolated sphenoid sinus disease (ISSD) is a rare condition that accounts for roughly 3% of all sinusitis cases. ISSD is predominantly caused by infectious and inflammation processes, with underlying fungal pathologies. This case series aims to illustrate the endonasal endoscopic management of different isolated sphenoid fungal pathologies. We described four distinct case presentations of ISSD at a tertiary hospital in Dammam, Saudi Arabia. These cases included isolated sphenoid fungal ball, allergic fungal sinusitis, and acute invasive fungal sinusitis. The management of isolated sphenoid fungal pathologies differs depending on the type of the disease necessitating early identification and adequate treatment. The endonasal endoscopic approach is successful with minimal complications and favorable outcomes.
孤立性蝶窦疾病（ISSD）是一种罕见病症，约占所有鼻窦炎病例的3%。ISSD主要由感染和炎症过程引起，伴有潜在的真菌病变。本病例系列旨在阐述不同类型孤立性蝶窦真菌病变的鼻内镜治疗方法。我们描述了沙特阿拉伯达曼一家三级医院的4例不同的ISSD病例。这些病例包括孤立性蝶窦真菌球、变应性真菌性鼻窦炎和急性侵袭性真菌性鼻窦炎。孤立性蝶窦真菌病变的治疗方法因疾病类型而异，需要早期识别并进行充分治疗。鼻内镜手术方法成功率高，并发症少，效果良好。
