الفهرس | Only 14 pages are availabe for public view |
Abstract Summary Endoscopic sphenoid sinus surgery can be challenging due to its close relation to vital anatomical structures such as the optic nerve, ICA, skull base, orbit. Even minimal damage to the surrounding structures during FESS can lead to serious complications such as blindness or massive bleeding. The sphenoid sinus natural ostium provides a natural and safe access for endoscopic management of the sphenoid sinus lesions. It is not always easy to locate the ostium during the endoscopic approach. The present study was designed to assess the value of the superior turbinate as a constant and reliable anatomic landmark for the location of the sphenoid sinus ostium and the utility of the surgical techniques for safe endoscopic sphenoidotomy in relation to position of the superior turbinate attachment to the sphenoid face. A prospective study of 40 patients who underwent endoscopic management of sphenoid sinusitis resistant to medical treatment. There were 15 males and 25 females ranging from 11-60 years old. Patients were divided into two main groups: group A: included patients with isolated sphenoid sinusitis (10 patients with 12 sides). group B: included patients with sphenoid sinusitis associated with other sinuses affection (30 patients with 58 sides). |