Gilain L, Aidan D, Coste A, Peynegre R
Department of Otolaryngology, Hopital intercommunal de Créteil, University Paris, Créteil, France.
Head Neck. 1994 Sep-Oct;16(5):433-7. doi: 10.1002/hed.2880160507.
This article reviews 12 cases of isolated sphenoid sinus disease: chronic inflammatory sinusitis (7), mucoceles (2), aspergillus lesions (2), and isolated polyp (1).
Criteria for diagnosis were based on clinical symptoms, nasal endoscopic evaluation, and computed tomography (CT). Magnetic resonance imaging was used only in cases of bone erosion and when patients presented with vision problems. All patients were treated by functional endoscopic sphenoidotomy. Any postoperative complications were noted.
The reported good results, on the basis of regression of functional symptoms and with nasal endoscopic and CT evaluation, suggest that intranasal sphenoidotomy under endoscopic control is a safe and effective method of treatment of nonmalignant isolated sphenoid disease. The mean follow-up is 26 months.
本文回顾了12例孤立性蝶窦疾病病例：慢性炎症性鼻窦炎（7例）、黏液囊肿（2例）、曲霉菌病变（2例）和孤立性息肉（1例）。
诊断标准基于临床症状、鼻内镜评估和计算机断层扫描（CT）。仅在骨质侵蚀病例以及患者出现视力问题时使用磁共振成像。所有患者均接受功能性内镜蝶窦切开术治疗。记录任何术后并发症。
基于功能症状消退以及鼻内镜和CT评估得出的良好结果表明，在内镜控制下进行鼻内蝶窦切开术是治疗非恶性孤立性蝶窦疾病的一种安全有效的方法。平均随访时间为26个月。
