Abstract • O. E. Van Alyea stated that "The sphenoid sinus is the most neglected of the nasal sinuses." It is neglected by disease because of its location, by the physician because of its subtle symptoms when diseased, and the surgeon because of its inaccessability. An accurate knowledge and understanding of the anatomy of the area help the physician diagnose and manage problems in this area. Eleven cases are used to illustrate the wide spectrum of pathologic conditions in and about the sphenoid sinus. Only two of the patients were asymptomatic. All of the others had deep-seated, retrobulbar headaches. Eight of 11 patients had cranial nerve involvement. The optic nerve was involved in six cases. The abducens nerve was involved in five of 11 cases and the maxillary nerve in four of 11 cases. Initial roentgenographic examination must include lateral and submental vertex views. The newer techniques of angiography, polytomography, and computerized tomography aid in determining the extent of the pathologic condition and the treatment approach. (Arch Otolaryngol 104:585-587, 1978) References 1. Van Alyea OE: In discussion of operation for the sphenoid by Arthur W. Proetz . Trans Am Acad Ophthalmol Otolaryngol , (May) -June 1949, pp 538-545. 2. Alexander FW: Primary tumors of the sphenoid sinus . Laryngoscope 73:537-546, 1963. 3. Simon HM, Tingwald FR: Syndrome associated with mucocele of the sphenoid sinus . Radiology 64:538-545, 1955.Crossref 4. Montgomery WW: Osteoma of the frontal sinus . Ann Otol Rhinol Laryngol 69:245-255, 1960. 5. Brunner H: Fibrous dysplasia of facial bones and paranasal sinuses . Arch Otolaryngol 55:43-54, 1952.Crossref 6. Lewis JS: Sarcoma of the nasal cavity and paranasal sinuses . Ann Otol Rhinol Laryngol 78:778-785, 1969. 7. Van Alyea OE: Sphenoid sinus . Arch Otolaryngol 34:225-253, 1941.Crossref 8. Proetz AW: Operation for the sphenoid sinus . Trans Am Acad Ophthalmol Otolaryngol , (May) -June 1949, pp 538-545.
Archives of Otolaryngology – American Medical Association
Published: Oct 1, 1978