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Analysis of sphenoid sinus diseases with intracranial and/or orbital complications in 35 cases

LI Yonghua LIU Pinan(Department of Otorhinolaryngology,Peking Tiantan Hospital,Beijing,100050,China)  
Objective:To evaluate the clinical manifestations and treatment methods of sphenoid sinus diseases with intracranial and/or orbital complications,to provide reference for their diagnosis and treatment.Method:The manifestations and operative ways of sphenoid sinus diseases with cranial/orbital complications in 35 cases were retrospectively analyzed.Result:There were 5 cases with meningitis,3 cases with cavernous sinus thrombosis,2 cases with pituitary abscess,1 case with multiple intracranial abscess,17 cases with optic neuritis,8 cases with abduction nerve paralysis,2 cases with orbital apex syndrome.All the patients underwent endoscopic sphenoid sinus surgery,three of them died of brain stem failure and carcinoma.Conclusion:Sphenoid sinus disease may lead to severe complications if the diagnosis and treament have be delayed.
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