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Int J Pediatr Otorhinolaryngol. 2014 Apr;78(4):684-6. doi: 10.1016/j.ijporl.2013.12.040. Epub 2014 Jan 8.

Combined endoscopic transnasal and intrasphenoidal septal approach for the drainage of sphenoid sinusitis with cleft lip: technical note.

Author information

  • 1Department of Radiology, Eulji University Medical Center, Eulji University, Daejeon, South Korea.
  • 2Department of Otolaryngology-Head and Neck Surgery, Eulji University Medical Center, Eulji University, Daejeon, South Korea. Electronic address: mschoi@eulji.ac.kr.

Abstract

Isolated sphenoiditis is an uncommon disease, particularly in children. Immediate antibiotic therapy and/or endoscopic transnasal sphenoidotomy should be performed to avoid fatal complications. However, the commonly used transnasal route is not always available in children with a cleft lip and deviated nasal septum. We report a case of acute isolated sphenoid sinusitis in a 12-year-old boy with a cleft lip and deviated nasal septum. This patient underwent combined endoscopic transnasal and intrasphenoidal septal surgery and improved without septoplasty, which may affect the later growth of the nose.

Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

KEYWORDS:

Intrasphenoidal septum; Isolated sphenoid sinusitis

PMID:
24512786
[PubMed - indexed for MEDLINE]
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