A 74-year-old immunocompetent man admitted for severe retro-orbital headache was diagnosed with isolated sphenoiditis. At the time of scheduled surgery, the patient was mildly obtunded, and a head CT revealed a temporal lobe abscess. The patient underwent a left temporal craniectomy and a bilateral endoscopic sphenoid sinusotomy, which revealed gross fungal debris. The patient made a full recov...

Plasma cell neoplasms of the head and neck region can be extramedullary plasmacytoma of the bone, solitary plasmacytoma of the bone, and local manifestations of multiple myeloma. A 70-year-old male patient was admitted to our hospital with diplopia of four-day history. Magnetic resonance imaging showed soft tissue in the sphenoid sinus. Endoscopic biopsy was taken from the sphenoid sinus, which...

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Paranasal sinuses are prone to a great diversity of anomalies. Aplasia of the frontal sinus is a relatively common phenomenon and may be accompanied with hypoplasia of the maxillary sinus, but combined aplasia or underde-velopment of the paranasal sinuses is unusual (1, 2)...

Fibrous dysplasia is a rare bone condition in which normal replaced by aberrant fibrous tissue. The patient may come to evaluate with other diseases and while doing investigations, it observed. Here we present case of 24 years male who came our OPD swelling around the left cheek region for 5 days. underwent Computerised tomography scan revealed an expansile, sclerotic, cystic ground-glass appea...

Endonasal endoscopic sinus surgery is the standard procedure for surgery of most paranasal sinus diseases. Appropriate frame conditions provided, the respective procedures are safe and successful. These prerequisites encompass appropriate technical equipment, anatomical oriented surgical technique, proper patient selection, and individually adapted extent of surgery. The range of endonasal sinu...

A 35-year-old female complained of right-sided watery nasal discharge persisting for 2 weeks. Neuroimaging investigations revealed a defect in the lateral side of middle cranial fossa, temporal lobe encephalocele protruding into the lateral extension of the sphenoid sinus, and cerebrospinal fluid (CSF) collection on the right side of the sphenoid sinus. The transcranial approach was performed f...

Pathology References Isolated sphenoid sinusitis accounts for 2-3% of all sinus infections evaluated by radiologic imaging. Fungal sphenoiditis is present in approximately 5% of isolated sphenoiditis. The most common presenting symptom is frontal/retro-orbital headache; this occurs in roughly 70% of cases. Nasal obstruction is the next most common symptom presenting in 30% of cases. Noninvasive...

Objective The clinical presentation of sphenoid sinusitis can be highly variable. Rarely, sphenoid sinusitis may present with cranial nerve complications due to the proximity of these structures to the sphenoid sinus. Method A case series from Rabin Medical Center and all cases of cranial nerves palsies secondary to sphenoid sinusitis that have been reported in the literature were reviewed. ...

A benign pleomorphic adenoma is the most common tumor of the salivary glands. This tumor has the potential to metastasize to bone, the head and neck region, visceral organs and skin. Although there a few reports about a benign pleomorphic adenoma metastasizing to the maxillary sinus in the paranasal sinuses, there are no reports about a metastatic benign pleomorphic adenoma in the sphenoid sinu...

Background: Injury to the cavernous portion of the Internal Carotid Artery (ICA) during nasal endoscopic sinus surgery is a rare complication, which is associated with high rates of morbidity and mortality. ICA is more vulnerable to iatrogenic injury inside the sphenoid lateral wall when it runs in a more medial course which although is uncommon but a normal variant and when the ICA runs only i...