Application of expanding bilateral sphenoid sinus plasty in the treatment of sphenoid sinus diseases

Xue,Fei; Yu,Xiang; Cheng,You; Wu,Minghai; Ji,Junfeng; Wang,Rui

doi:10.3892/etm.2023.12101

Application of expanding bilateral sphenoid sinus plasty in the treatment of sphenoid sinus diseases

Authors:
- Fei Xue
- Xiang Yu
- You Cheng
- Minghai Wu
- Junfeng Ji
- Rui Wang
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Affiliations: Department of Otolaryngology Head and Neck Surgery, Medical School of Nanjing University Affiliated Jinling Hospital, Nanjing, Jiangsu 210002, P.R. China, Department of Otolaryngology Head and Neck Surgery, Medical School of Nanjing University Affiliated Jinling Hospital, Nanjing, Jiangsu 210002, P.R. China, Department of Medical Oncology, Medical School of Nanjing University Affiliated Jinling Hospital, Nanjing, Jiangsu 210002, P.R. China
Published online on: July 7, 2023 https://doi.org/10.3892/etm.2023.12101
Article Number: 401
Copyright: © Xue et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Expanding bilateral sphenoid sinus plasty is an essential technique for the treatment of sphenoid sinus diseases, such as refractory sphenoid sinusitis, sphenoid sinus cyst, fungal sphenoid sinusitis, sphenoid sinus carcinoma and sphenoid sinus chordoma. The present study evaluated the potential application of expanding bilateral sphenoid sinus plasty in the treatment of sphenoid sinus diseases. A retrospective medical record review of 42 patients treated with the expanding bilateral sphenoid sinus plasty from December 2012 to December 2018 was performed in a tertiary‑care university hospital. A follow‑up of the surgical effects and complications was performed. Of the 42 patients, the symptoms were relieved after operation in all except preoperative hyposmia in 2 and impaired vision in one with no obvious improvement. No complications such as nasal bleeding, olfactory hypofunction and perforation of nasal septum occurred. Follow‑up data revealed good mucosal epithelization in all patients within a mean time of 8.6 weeks. Endoscopic sinus reexamination demonstrated that the sphenoid sinus orifice was well opened, and no cases of sphenoid sinus orifice closure were observed. Expanding bilateral sphenoid sinus plasty, with advantages of clearly exposed surgical field, full opening of the sinus cavity, high surgical safety, short epithelialization time and intuitionistic postoperative follow‑up, demonstrated great promise for greater use in the treatment of sphenoid sinus diseases in the future.

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