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Isolated sphenoethmoid recess poiyps

Published online by Cambridge University Press:  29 June 2007

Dharambir S. Sethi ,
David P. C. Lau ,
Lincoln W. J. Chee  and
Vincent Chong
Dharambir S. Sethi*
Affiliation:
Departments of Otolaryngology, Singapore General Hospital, Singapore.
David P. C. Lau
Affiliation:
Departments of Otolaryngology, Singapore General Hospital, Singapore.
Lincoln W. J. Chee
Affiliation:
Departments of Otolaryngology, Singapore General Hospital, Singapore.
Vincent Chong
Affiliation:
Departments of Diagnostic Radiology, Singapore General Hospital, Singapore.
*
Address for correspondence: Dharambir S. Sethi, F.R.C.S., Department of Otolaryngology, Singapore General Hospital, Outram Road, Singapore 169608. Fax: 65-2262079
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Abstract

Isolated sphenoethmoid recess (SER) polyps are rare. They usually arise from the sphenoid sinus. We report six patients with SER polyps as the only abnormal clinical finding at initial presentation. All cases were investigated with outpatient biopsy and computed tomography (CT) or magnetic resonance (MR) imaging. Pre-operative histology revealed three cases of inflammatory disease, two cases with inverted papilloma, and one case of an ectopic pituitary adenoma arising from the sphenoid sinus. One of the inflammatory polyps arose directly from the mucosa around the sphenoid ostium. The other five cases involved the sphenoid sinus. Except for the ectopic pituitary adenoma all the polyps were managed by transnasal endoscopic surgery. We emphasize that isolated SER polyps may signify existing sphenoid pathology and a pre-operative biopsy is valuable for planning surgery.

Keywords

Nasal polypsSphenoid sinusEndoscopy, surgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 7 , July 1998 , pp. 660 - 663
Copyright
Copyright © JLO (1984) Limited 1998

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Footnotes

Presented at the Cottle International Rhinology Centennial and XVI ISIAN Meeting, Pittsburgh PA. USA. June 5–8 1997.

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