Archive of the journal «Russian otorhinolaryngology»

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Content № 2 (99) 2019

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Science articles

Focal lesions of sphenoid sinus in the practice of regional department of otorhinolaryngology

R. A. Larin (1), A. V. Shakhov (2), S. S. Kuznetsov (2)

(1) Semashko Nizhny Novgorod Regional Clinical Hospital, Nizhny Novgorod, 603126, Russia (2) Volga Research Medical University Ministry of Health of the Russian Federation, Nizhny Novgorod, 603005, Russia

UDK: 616.216.3-002.3-072.1-089

DOI: https://doi.org/10.18692/1810-4800-2019-2-49-56

ABSTRACT

Focal forms of sphenoid sinus lesion are quite often observed in the practical work, meanwhile, a number of issues remain unsolved. The symptom complex is variable and does not always manifest itself with rhinological symptoms. The study presents literature, epidemiological data, demonstrating the relevance of the problem. The flaws/errors in the radiological data interpretation are shown. The authors provide observations of complicated forms of the disease, caused by the errors in the pre-hospital diagnosis and treatment tactics. The article presents the analysis of radiological pattern in various nosological forms of the paranasal sinus lesions in relation to the sphenoid sinus pathology in a large group of patients. Separate data are presented on findings in the sphenoid sinus in the process of study of autopsy material, which confirm the thesis about the prevalence of latent forms of lesions. The main treatment method is the surgery, both with basic accesses and with their modifications. Emphasis is placed on the need for a multidisciplinary approach in the treatment of this pathology.

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Publication date:

28.03.2019

Keywords:

sphenoid sinus, symptom complex, latent sphenoiditis, autopsy, radiological examination, endorhinoscopy, endosurgical treatment methods, multidisciplinary approach.

For citation:

Larin R. A., Shakhov A. V., Kuznetsov S. S. Focal lesions of sphenoid sinus in the practice of regional department of otorhinolaryngology. Rossiiskaya otorinolaringologiya. 2019;18(2):49–56. https://doi.org/ 10.18692/1810-4800-2019-2-49-56