Hadar T, Yaniv E, Shvero J
Department of Otolaryngology, Beilinson Medical Center, Petah Tiqva, Israel.
J Laryngol Otol. 1996 Sep;110(9):850-3. doi: 10.1017/s0022215100135145.
This study reviews the records of 21 patients with isolated sphenoid sinus disease who were treated by rigid endoscopic sphenoidotomy at the Nose and Sinus Unit, Department of Otolaryngology of Beilinson Medical Center, Israel. Diagnosis was made on the basis of history, rigid nasal endoscopy and computed tomography (CT) scan. The most frequent symptom was headache; no instances of 'pathognomonic' headache were found. Sphenoidotomy was performed through the area of the natural ostium. The pathological finding was infection in 11 patients, cyst in four patients, polyps in three patients, mucocoele in two, and inverted papilloma in one patient. Surgical results were very good. Endoscopic sphenoidotomy proved to be safe, with minimal blood loss, reduced operating time, decreased morbidity, and short post-operative hospitalization.
本研究回顾了21例孤立性蝶窦疾病患者的病历，这些患者在以色列贝林森医疗中心耳鼻喉科鼻窦科接受了硬性内镜蝶窦切开术治疗。诊断基于病史、硬性鼻内镜检查和计算机断层扫描（CT）。最常见的症状是头痛；未发现“典型”头痛病例。蝶窦切开术通过自然开口区域进行。病理结果为11例感染、4例囊肿、3例息肉、2例黏液囊肿和1例内翻性乳头状瘤。手术效果非常好。内镜蝶窦切开术被证明是安全的，出血量极少，手术时间缩短，发病率降低，术后住院时间短。
