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Pathology of the Sphenoidal Sinus

Pathology of the Sphenoidal Sinus Abstract Interest in the sphenoidal sinus began when Rouge1 in 1872 happened to find in a cadaver a sphenoidal sinus filled with pus. But access to the sphenoidal sinus by instruments was at that time considered impossible. Zuckerkandl,2 the anatomist, was the first to show how to reach it. Caution in exploration of this sinus still persists,3,4 in spite of the ease of present-day methods.5-7 Sphenoidal sinusitis is found by the pathologist8,9,3 in about 22% of all cases of sinus infection, either alone or combined with involvement of other sinuses, most frequently with maxillary sinusitis. This paper deals with complications due to suppurative or catarrhal sinusitis and also with pathology or tumors originating primarily within the sinus or originating outside the sphenoidal sinus and encroaching on neighboring structures. Pituitary tumors will be mentioned only in selected cases. The following cases of my own experience illustrate the References 1. Rouge: Union méd., cited by Grünwald, L.: Die Lehre von den Naseneiterungen , Munich, J. F. Lehman, 1896, p. 242. 2. Zuckerkandl, E.: Normale und pathologische Anatomie der Nasenhöhle und ihrer pneumatischen Anhänge , Ed. 2, Vienna and Leipzig, Wilhelm Braumüller, 1893, Vol. 1, p. 338. 3. Dixon, F. W.: Practical Points in the Treatment of Sphenoiditis , Arch. Otolaryng. 34:117, 1941.Crossref 4. Bilchick, E. B.: Diseases of the Sphenoid Sinus , Arch. Otolaryng. 32:1031, 1940.Crossref 5. Hajek, M.: Zur Diagnose und intranasalen chirurgischen Behandlung der Eiterungen der Keilbeinhöhle und des hinteren Siebbeinlabyrinthes , Arch. Laryng. u. Rhinologie 16:105, 1904. 6. Hirsch, O.: Über Methoden der operativen Behandlung von Hypophysistumoren auf endonasalem Wege , Arch. Laryng. 24:1, 1910. 7. Hirsch, O.: Meine septale Methode der Keilbeinhöhleneröffnung , Monatsschr. Ohrenh. 66:1098, 1932. 8. Wilker, F.: Statistische Untersuchungen über die Entzündung der Nasen nebenhöhlen an Hand von 2000 Sektionsfällen , Ztsch. Laryng. Rhin. Otol. 25:404, 1934. 9. Teed, R. W.: Meningitis from the Sphenoid Sinus , Arch. Otolaryng. 28:589, 1938.Crossref 10. Schaeffer, M.: Chirurgische Erfahrungen in der Rhinologie and Laryngologie aus den Jahren 1875-1885 , Wiesbaden, J. F. Bergmann, 1885, p. 4, (first attempt to open sphenoidal sinus in living). 11. Killian, G.: Über die Therapie der Entzündungen der Siebbeinzellen und der Keilbeinhöhlen, Verhandlungen der deutschen otologischen Gesellschaft auf der 9ten Versammlung in Heidelberg, 1900. 12. Cavanaugh, J. A.: The Sphenoid on Parade , Laryngoscope 45:911, 1935. (Historical review in which the author favors the past in numerous references.)Crossref 13. Hirsch, O.: Endocranielle Komplikationen der Nebenhöhlenentzündungen, in Handbuch der Neurologie , edited by O. Bumke, and O. Foerster, Berlin, Springer-Verlag, 1936, Vol. 10, p. 159. 14. Canfield, N.: Clinical Recognition and Treatment of Chronic Sphenoiditis , Kentucky M. J. 36:284, 1938. 15. Anthony, W. P., and Williams, H. L.: Lateral Pansinal Mucocele Simulating a Malignant Neoplasm: Report of a Case , A. M. A. Arch. Otolaryng. 53:189, 1951.Crossref 16. Lewin, W., and Cairns, H.: Fractures of the Sphenoidal Sinus with Cerebro-Spinal Rhinorrhoea , Brit. M. J. 1:1, 1951.Crossref 17. Haas, L. L.: Osteitis of the Sphenoidal Sinus , A.M. A. Arch. Otolaryng. 57:427, 1953.Crossref 18. Neffson, A. H.: Acute Suppurative Sphenoid Sinusitis in Child Simulating an Acute Encephalitis , Eye, Ear, Nose & Throat Month. 32:396, 1953. 19. Leroux, L., and Merovici, M.: Méningite due à une sinusite sphénoïdale: guérison oprès opération , Ann. oto-laryng. 70:357, 1953. 20. Tamura, H.: Über die permaxilläre sphenoid-sinuseröffnung , Arch. Ohren- Nasen- u. Kehlkopfh. 166:355, 1955. 21. Cody, C. C., III: An Unusual Case of Sphenoid Abscess , A.M. A. Arch. Otolaryng. 63:199, 1956. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

Pathology of the Sphenoidal Sinus

A.M.A. Archives of Otolaryngology , Volume 67 (1) – Jan 1, 1958

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Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1958.00730010089019
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Abstract

Abstract Interest in the sphenoidal sinus began when Rouge1 in 1872 happened to find in a cadaver a sphenoidal sinus filled with pus. But access to the sphenoidal sinus by instruments was at that time considered impossible. Zuckerkandl,2 the anatomist, was the first to show how to reach it. Caution in exploration of this sinus still persists,3,4 in spite of the ease of present-day methods.5-7 Sphenoidal sinusitis is found by the pathologist8,9,3 in about 22% of all cases of sinus infection, either alone or combined with involvement of other sinuses, most frequently with maxillary sinusitis. This paper deals with complications due to suppurative or catarrhal sinusitis and also with pathology or tumors originating primarily within the sinus or originating outside the sphenoidal sinus and encroaching on neighboring structures. Pituitary tumors will be mentioned only in selected cases. The following cases of my own experience illustrate the References 1. Rouge: Union méd., cited by Grünwald, L.: Die Lehre von den Naseneiterungen , Munich, J. F. Lehman, 1896, p. 242. 2. Zuckerkandl, E.: Normale und pathologische Anatomie der Nasenhöhle und ihrer pneumatischen Anhänge , Ed. 2, Vienna and Leipzig, Wilhelm Braumüller, 1893, Vol. 1, p. 338. 3. Dixon, F. W.: Practical Points in the Treatment of Sphenoiditis , Arch. Otolaryng. 34:117, 1941.Crossref 4. Bilchick, E. B.: Diseases of the Sphenoid Sinus , Arch. Otolaryng. 32:1031, 1940.Crossref 5. Hajek, M.: Zur Diagnose und intranasalen chirurgischen Behandlung der Eiterungen der Keilbeinhöhle und des hinteren Siebbeinlabyrinthes , Arch. Laryng. u. Rhinologie 16:105, 1904. 6. Hirsch, O.: Über Methoden der operativen Behandlung von Hypophysistumoren auf endonasalem Wege , Arch. Laryng. 24:1, 1910. 7. Hirsch, O.: Meine septale Methode der Keilbeinhöhleneröffnung , Monatsschr. Ohrenh. 66:1098, 1932. 8. Wilker, F.: Statistische Untersuchungen über die Entzündung der Nasen nebenhöhlen an Hand von 2000 Sektionsfällen , Ztsch. Laryng. Rhin. Otol. 25:404, 1934. 9. Teed, R. W.: Meningitis from the Sphenoid Sinus , Arch. Otolaryng. 28:589, 1938.Crossref 10. Schaeffer, M.: Chirurgische Erfahrungen in der Rhinologie and Laryngologie aus den Jahren 1875-1885 , Wiesbaden, J. F. Bergmann, 1885, p. 4, (first attempt to open sphenoidal sinus in living). 11. Killian, G.: Über die Therapie der Entzündungen der Siebbeinzellen und der Keilbeinhöhlen, Verhandlungen der deutschen otologischen Gesellschaft auf der 9ten Versammlung in Heidelberg, 1900. 12. Cavanaugh, J. A.: The Sphenoid on Parade , Laryngoscope 45:911, 1935. (Historical review in which the author favors the past in numerous references.)Crossref 13. Hirsch, O.: Endocranielle Komplikationen der Nebenhöhlenentzündungen, in Handbuch der Neurologie , edited by O. Bumke, and O. Foerster, Berlin, Springer-Verlag, 1936, Vol. 10, p. 159. 14. Canfield, N.: Clinical Recognition and Treatment of Chronic Sphenoiditis , Kentucky M. J. 36:284, 1938. 15. Anthony, W. P., and Williams, H. L.: Lateral Pansinal Mucocele Simulating a Malignant Neoplasm: Report of a Case , A. M. A. Arch. Otolaryng. 53:189, 1951.Crossref 16. Lewin, W., and Cairns, H.: Fractures of the Sphenoidal Sinus with Cerebro-Spinal Rhinorrhoea , Brit. M. J. 1:1, 1951.Crossref 17. Haas, L. L.: Osteitis of the Sphenoidal Sinus , A.M. A. Arch. Otolaryng. 57:427, 1953.Crossref 18. Neffson, A. H.: Acute Suppurative Sphenoid Sinusitis in Child Simulating an Acute Encephalitis , Eye, Ear, Nose & Throat Month. 32:396, 1953. 19. Leroux, L., and Merovici, M.: Méningite due à une sinusite sphénoïdale: guérison oprès opération , Ann. oto-laryng. 70:357, 1953. 20. Tamura, H.: Über die permaxilläre sphenoid-sinuseröffnung , Arch. Ohren- Nasen- u. Kehlkopfh. 166:355, 1955. 21. Cody, C. C., III: An Unusual Case of Sphenoid Abscess , A.M. A. Arch. Otolaryng. 63:199, 1956.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Jan 1, 1958

References