What is sphenoid sinus mucosal disease?
Isolated sphenoid sinusitis is a rare disease with potentially devastating complications such as cranial nerve involvement, brain abscess, and meningitis. It occurs at an incidence of about 2.7% of all sinus infections. 2. Although headache is the most common presentation symptom, there is no typical headache pattern.
How do you diagnose sphenoid sinusitis?
CT scan is the main tool for diagnosis of sphenoid sinus mucocele [23]. Figure 7 shows CT scan findings of one of our cases. MRI scan of one of our cases (Figure 8) shows a low signal on T1 and a high signal on T2. Regarding treatment, asymptomatic mucocele, could be left without any surgical intervention.
How do you cure sphenoid sinusitis?
Acute sphenoid sinusitis can be cured with antimicrobial medication use alone,9 but a rule of thumb is that, if during the antibiotic therapy the symptoms get worse or continue for 24 to 48 hours or if there are signs of complications, surgery is indicated.
What causes mucosal thickening of sphenoid sinus?
The mechanism of thickening of the parasellar dura mater and sphenoid sinus mucosa have been considered to be caused by congestion of dural blood flow because of increased cavernous and circular sinus pressure due to a sudden increase in intrasellar pressure.
What is mucosal disease in humans?
Mucosal disorders are diseases of the mucous membranes of the mouth and genitals caused by yeast, viruses and bacteria. Mucosal disorders include: Candidiasis (yeast infection): Candidiasis is an infection caused by excess yeast on the skin or mucus membranes.
How long does sphenoid sinusitis last?
Chronic sphenoid rhinosinusitis is a spectrum of inflammatory diseases in isolated sphenoid sinus which may persist over a period of 12 weeks.
Is mucosal thickening reversible?
Purpose of review: Evidence suggests that some structural changes caused by mucosal remodeling may be primarily irreversible, which theoretically challenges the current management model of chronic rhinosinusitis (CRS).
Is mucosal thickening normal?
We conclude that mucosal thickening of up to 3 mm is common and lacks clinical significance in asymptomatic patients. An ancillary finding is that 1- to 2-mm areas of mucosal thickening in the ethmoidal sinuses occur in 63% of asymptomatic patients.
Is there such a thing as sphenoid sinus disease?
Sphenoid Sinus Disease When an acute inflammatory response occurs in the sphenoid sinus, the result is sphenoid sinusitis or sphenoiditis. The disease is relatively uncommon comparatively, chronic sphenoid sinusitis is more common and may be limited to the sphenoid sinus or, more commonly, may involve multiple sinuses or pansinusitis.
Can a sphenoid sinus mucocele be asymptomatic?
Sphenoid sinus mucocele may be asymptomatic. It is commonly discovered accidentally after CT or MRI of the head and neck region.35 Patients with sphenoid sinus mucocele may become symptomatic when the mucocele compresses or displaces structures around sphenoid sinus. Clinical symptoms may mimic neoplasm.
How is chronic sphenoid rhinosinusitis different from other diseases?
Chronic sphenoid rhinosinusitis is a spectrum of inflammatory diseases in isolated sphenoid sinus which may persist over a period of 12 weeks. It is a different entity from other types of rhinosinusitis because clinical presentations include headache, visual loss or diplopia, and patients may or may not have nasal obstruction or nasal discharge.
What are the symptoms of an isolated sphenoid lesion?
Isolated sphenoid lesion is an uncommon condition with an increasing incidence.2Patients may present with nonspecific symptoms such as headache, facial pain and fullness. Nasal symptoms are frequently absent.