Title: Clinical diagnosis and treatment of benign invasive lesions of sphenoid sinus
Abstract: OBJECTIVE To summarize the clinical characteristics and endoscopic treatment of benign invasive lesions of sphenoid sinus. METHODS 19 cases of clinical data of benign invasive lesion of sphenoid sinus were retrospectively analyzed. All of these 19 cases were given lesion resection via endoscopic transsphenoidal approach. RESULTS The lesions consisted of inverted papilloma(6 cases), ossifying fibromas(7 cases), chondroma(2 cases), eosinophilic granuloma(4 cases). Headache and visual disturbances were the common clinical symptoms. The common features of the imaging was destruction of sphenoid bone wall, invasion of surrounding structures of different degrees. Cerebrospinal fluid leakage occurred in l case,which was successfully repaired during the endoscopic operation. There were no postoperative orbital or intracranial complications.All patients were followed up for 3-5 years. 15 cases after thorough resection had no recurrence. But among the 4 cases of subtotal or partial resection, there was 1 case without lesion increase and other 3 cases of recurrence of which 1 was cured after reoperation and 2 cases became malignant and died because of Intracranial metastasis. CONCLUSION Benign invasive lesions of sphenoid sinus was similar to malignant neoplasma, with invasive behavior and easy recurrence characteristics. Endoscopic resection is an important treatment to prevent relapse. But unlike cancer, we should avoid taking extended resection.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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