Outcomes of trans-nasal trans-sphenoid endoscopic approach in isolated sphenoid sinus and sellar lesions
sleem, S., Rashad, U., mohamed, I., Kasim, A., Ismail, A. (2022). Outcomes of trans-nasal trans-sphenoid endoscopic approach in isolated sphenoid sinus and sellar lesions. EKB Journal Management System, 26(2), 51-66. doi: 10.21608/smj.2022.147182.1325
sara mostafa sleem; Usama mohamed Rashad; ibrahim rezk mohamed; Abdin Khair-Allah Kasim; ahmed Ismail. "Outcomes of trans-nasal trans-sphenoid endoscopic approach in isolated sphenoid sinus and sellar lesions". EKB Journal Management System, 26, 2, 2022, 51-66. doi: 10.21608/smj.2022.147182.1325
sleem, S., Rashad, U., mohamed, I., Kasim, A., Ismail, A. (2022). 'Outcomes of trans-nasal trans-sphenoid endoscopic approach in isolated sphenoid sinus and sellar lesions', EKB Journal Management System, 26(2), pp. 51-66. doi: 10.21608/smj.2022.147182.1325
sleem, S., Rashad, U., mohamed, I., Kasim, A., Ismail, A. Outcomes of trans-nasal trans-sphenoid endoscopic approach in isolated sphenoid sinus and sellar lesions. EKB Journal Management System, 2022; 26(2): 51-66. doi: 10.21608/smj.2022.147182.1325

Outcomes of trans-nasal trans-sphenoid endoscopic approach in isolated sphenoid sinus and sellar lesions

Sohag Medical Journal
Article 5, Volume 26, Issue 2, May 2022, Page 51-66  XML PDF (1.42 MB)
Document Type: Original Article
DOI: 10.21608/smj.2022.147182.1325
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Authors
sara mostafa sleem email 1; Usama mohamed Rashad2; ibrahim rezk mohamed3; Abdin Khair-Allah Kasim4; ahmed Ismail5
1ENT, faculty of medicine, sohag university, sohag
2otorhinolaryngology department, Sohag faculty of medicine, Sohag University, Sohag, Egypt
3Otorhinolaryngology Department, Sohag faculty of medicine, sohag university, sohag, Egypt
4Neurosurgery department, Sohag faculty of medicine, Sohag University, Sohag, Egypt
5otorhinolaryngology department, sohag faculty of medicine, sohag university, Sohag, Egypt
Abstract
Abstract:

Introduction: Isolated sphenoid sinus lesions cause symptoms such as headache and visual abnormalities. Endoscopic examination and imaging modalities are mandatory to reach diagnosis.

Objectives: To validate the importance of direct trans-nasal trans-sphenoid endoscopic approach as a minimally invasive surgical strategy in isolated sphenoid sinus and sellar lesions.

Patients & Methods: There are 21 patients in our study, collected over 2 years period. we recorded all patients with isolated sphenoid sinus and sellar lesions. These patients were scheduled for direct trans-nasal trans-sphenoid endoscopic approach for surgical management. Pituitary adenomas affect ten of them, and isolated sphenoid sinus lesions affect eleven. Complete medical history was taken, as well as general examination and local examination including full ENT examination including endoscopic examination, neurological examination, and ophthalmological examination. Routine laboratory investigations, hormonal assay (in patients with pituitary tumors), and radiological evaluation was done.

Results: we faced 21 patients 10 of them had pituitary adenomas and 11 of them had isolated sphenoid sinus lesions. 7 patients had non-secretory pituitary adenomas, 3 patients had secretory adenomas, 4 patients had sphenoid sinus mucoceles, 2 patients had spheno-choanal polyps, 2 patients had isolated sphenoid sinus fungal sinusitis, one patient had a granulomatous lesion, one patient had a neoplastic lesion (squamous cell carcinoma), and one patient had unilateral isolated sphenoiditis.

Conclusion: Direct trans-nasal trans-sphenoid endoscopic approach is the preferred option for optimal surgical management of patients with isolated sphenoid sinus and sellar lesions.
Keywords
isolated sphenoid sinus disease; sellar lesions; pituitary adenomas; direct trans-nasal trans-sphenoid endoscopic approach
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