Radiological and clinical summary of the pathology of the sphenoid sinus in children. Preliminary report

Lechosław P. Chmielik¹, *Magdalena Frąckiewicz¹, Agnieszka Biejat²

Summary
Summary
The sphenoid sinus is found in the area of the sphenoid bone. In the close neighborhood of the sphenoid sinus many important structures are located, such as optic nerve, oculomotor nerve, abducent and adjacent nerves, internal carotid artery. Diseases occurring in this area are commonly atypical and include asthenia, apathy, postnasal drip and headaches. Difficulties during making the diagnosis are caused by the very little number of clinical symptoms and also because the sphenoid sinus rarely features in laryngological examination. The authors analyzed 30 child´s cases, on whom functional endoscopic sinus surgery was performed during the period from November 2006 to March 2007. Computed tomography images, intra-operative views and clinical data were compared. Sphenoid sinusitis is a very rare disease among the population of the children. In cases of lesions within the sphenoid sinus, ophthalmic and neurological consultations are needed both pre- and post-operatively. The optimal surgical approach to isolated lesions in the sphenoid sinus in children is by Wigand´s method. The sphenoid sinusitis may occur with insufficiently typical syndromes and may demand a range of tests to reach a correct diagnosis.

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