Effect of sphenoid sinus volume and pneumatization type on isolated chronic sphenoid sinusitis (fungi and polyps)

Objectives: In this study, we aimed to investigate the association of sphenoid volume and pneumatization type with pathologies, including unilateral isolated chronic sphenoid sinusitis with polyps (ICSSwP) and isolated fungal chronic sphenoid sinusitis (IFCSS). Patients and Methods: A total of 26 patients (15 males, 11 females; mean age 49.9±15.0 years; range, 18 to 80 years) with unilateral isolated sphenoid inflammation, pathologically diagnosed as IFCSS (n=14) or ICSSwP (n=12) between January 2010 and December 2018 were included in this study. The sphenoid sinus volumes of the pathological and normal sides of the patients were compared. The sphenoid pneumatization types were also evaluated.Results: In the IFCSS group, the pathological side volume was statistically significantly higher than the healthy side volume (p

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1. Gibelli D, Cellina M, Gibelli S, Cappella A, Oliva AG, Termine G, et al. Relationship between sphenoid sinus volume and protrusion of internal carotid artery and optic nerve: a 3D segmentation study on maxillofacial CT-scans. Surg Radiol Anat 2019;41:507-12.

2. Moss WJ, Finegersh A, Jafari A, Panuganti B, Coffey CS, DeConde A, et al. Isolated sphenoid sinus opacifications: a systematic review and meta-analysis. Int Forum Allergy Rhinol 2017;7:1201-6.

3. Štoković N, Trkulja V, Dumić-Čule I, Čuković-Bagić I, Lauc T, Vukičević S, et al. Sphenoid sinus types, dimensions and relationship with surrounding structures. Ann Anat 2016;203:69-76.

4. Grillone GA, Kasznica P. Isolated sphenoid sinus disease. Otolaryngol Clin North Am 2004;37:435-51.

5. Nour YA, Al-Madani A, El-Daly A, Gaafar A. Isolated sphenoid sinus pathology: spectrum of diagnostic and treatment modalities. Auris Nasus Larynx 2008;35:500-8.

6. Sethi DS. Isolated sphenoid lesions: diagnosis and management. Otolaryngol Head Neck Surg 1999;120:730-6.

7. Knisely A, Holmes T, Barham H, Sacks R, Harvey R. Isolated sphenoid sinus opacification: A systematic review. Am J Otolaryngol 2017;38:237-43.

8. An YH, Venkatraman G, DelGaudio JM. Isolated inflammatory sphenoid sinus disease: a revisitation of computed tomography indications based on presenting findings. Am J Rhinol 2005;19:627-32.

9. Fooanant S, Angkurawaranon S, Angkurawaranon C, Roongrotwattanasiri K, Chaiyasate S. Sphenoid Sinus Diseases: A Review of 1,442 Patients. Int J Otolaryngol 2017;2017:9650910.

10. Unal B, Bademci G, Bilgili YK, Batay F, Avci E. Risky anatomic variations of sphenoid sinus for surgery. Surg Radiol Anat 2006;28:195-201.

11. Kim J, Song SW, Cho JH, Chang KH, Jun BC. Comparative study of the pneumatization of the mastoid air cells and paranasal sinuses using threedimensional reconstruction of computed tomography scans. Surg Radiol Anat 2010;32:593-9.

12. Yushkevich PA, Piven J, Hazlett HC, Smith RG, Ho S, Gee JC, et al. User-guided 3D active contour segmentation of anatomical structures: significantly improved efficiency and reliability. Neuroimage 2006;31:1116-28.

13. Selcuk OT, Erol B, Renda L, Osma U, Eyigor H, Gunsoy B, et al. Do altitude and climate affect paranasal sinus volume? J Craniomaxillofac Surg 2015;43:1059-64.

14. Hiremath SB, Gautam AA, Sheeja K, Benjamin G. Assessment of variations in sphenoid sinus pneumatization in Indian population: A multidetector computed tomography study. Indian J Radiol Imaging 2018;28:273-9.

15. Pirinc B, Fazliogullari Z, Guler I, Unver Dogan N, Uysal II, Karabulut AK. Classification and volumetric study of the sphenoid sinus on MDCT images. Eur Arch Otorhinolaryngol 2019;276:2887-94.

16. Güldner C, Pistorius SM, Diogo I, Bien S, Sesterhenn A, Werner JA. Analysis of pneumatization and neurovascular structures of the sphenoid sinus using cone-beam tomography (CBT). Acta Radiol 2012;53:214-9.

17. Fawaz SA, Ezzat WF, Salman MI. Sensitivity and specificity of computed tomography and magnetic resonance imaging in the diagnosis of isolated sphenoid sinus diseases. Laryngoscope 2011;121:1584-9.

18. Cakmak O, Shohet MR, Kern EB. Isolated sphenoid sinus lesions. Am J Rhinol 2000;14:13-9.

19. Manjula BV, Nair AB, Balasubramanyam AM, Tandon S, Nayar RC. Isolated sphenoid sinus disease - a retrospective analysis. Indian J Otolaryngol Head Neck Surg 2010;62:69-74.

20. Aksoy S, Orhan K. Paranazal sinüs hacimlerinin değerlendirilmesi. Turkiye Klinikleri J Oral Maxillofac Radiol-Special Topics 2017;3:184-8.

21. Scuderi AJ, Harnsberger HR, Boyer RS. Pneumatization of the paranasal sinuses: normal features of importance to the accurate interpretation of CT scans and MR images. AJR Am J Roentgenol 1993;160:1101-4.

22. Yonetsu K, Watanabe M, Nakamura T. Age-related expansion and reduction in aeration of the sphenoid sinus: volume assessment by helical CT scanning. AJNR Am J Neuroradiol 2000;21:179-82.

23. Nejaim Y, Farias Gomes A, Valadares CV, Costa ED, Peroni LV, Groppo FC, et al. Evaluation of volume of the sphenoid sinus according to sex, facial type, skeletal class, and presence of a septum: a cone-beam computed tomographic study. Br J Oral Maxillofac Surg 2019;57:336-40.

24. Gibelli D, Cellina M, Gibelli S, Oliva AG, Codari M, Termine G, et al. Volumetric assessment of sphenoid sinuses through segmentation on CT scan. Surg Radiol Anat 2018;40:193-8.

25. Pagella F, Matti E, De Bernardi F, Semino L, Cavanna C, Marone P, et al. Paranasal sinus fungus ball: diagnosis and management. Mycoses 2007;50:451-6.

26. Sethi DS, Lau DP, Chee LW, Chong V. Isolated sphenoethmoid recess polyps. J Laryngol Otol 1998;112:660-3.

27. Emirzeoglu M, Sahin B, Bilgic S, Celebi M, Uzun A. Volumetric evaluation of the paranasal sinuses in normal subjects using computer tomography images: a stereological study. Auris Nasus Larynx 2007;34:191-5.

28. Karakas S, Kavakli A. Morphometric examination of the paranasal sinuses and mastoid air cells using computed tomography. Ann Saudi Med 2005;25:41-5.

29. Sánchez Fernández JM, Anta Escuredo JA, Sánchez Del Rey A, Santaolalla Montoya F. Morphometric study of the paranasal sinuses in normal and pathological conditions. Acta Otolaryngol 2000;120:273-8.

30. Park IH, Song JS, Choi H, Kim TH, Hoon S, Lee SH, et al. Volumetric study in the development of paranasal sinuses by CT imaging in Asian: a pilot study. Int J Pediatr Otorhinolaryngol 2010;74:1347-50.

31. Senturk M, Guler I, Azgin I, Sakarya EU, Ocal R, Agirgol B, et al. Sphenoethmoid cell: The battle for places inside of the nose between a posterior ethmoid cell and sphenoid sinus: 3d-volumetric quantification. Curr Med Imaging Rev 2017;13:478-83.

32. Kawarai Y, Fukushima K, Ogawa T, Nishizaki K, Gunduz M, Fujimoto M, et al. Volume quantification of healthy paranasal cavity by three-dimensional CT imaging. Acta Otolaryngol Suppl 1999;540:45-9.

33. Lu Y, Pan J, Qi S, Shi J, Zhang X, Wu K. Pneumatization of the sphenoid sinus in Chinese: the differences from Caucasian and its application in the extended transsphenoidal approach. J Anat 2011;219:132-42.