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Open Access 16-01-2024 | Rhinosinusitis | Rhinology

Does acute isolated sphenoidal sinusitis meet the criteria of the recent acute sinusitis guidelines, EPOS2020?

Authors: Raed Farhat, Ashraf Khater, Nidal El Khatib, Majd Asakly, Aviva Ron, Alaa Safia, Marwan Karam, Saqr Massoud, Yaniv Avraham, Shlomo Merchavy

Published in: European Archives of Oto-Rhino-Laryngology | Issue 5/2024

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Abstract

Introduction

Isolated sphenoidal sinusitis (ISS) is a rare disease with non-specific symptoms and a potential for complications. Diagnosis is made clinically, endoscopically, and with imaging like CT scans or MRIs. This study aimed to evaluate if ISS meets the EPOS 2020 criteria for diagnosing acute rhinosinusitis and if new diagnostic criteria are needed.

Materials and methods

The study analyzed 193 charts and examination records from 2000 to 2022 in patients diagnosed with isolated sphenoidal sinusitis at the Ziv Medical Center in Safed, Israel. Of the 193, 57 patients were excluded, and the remaining 136 patients were included in the final analysis. Patients were evaluated using Ear, Nose and Throat (ENT), neurological and sinonasal video endoscopy, radiological findings, demographic data, symptoms and signs, and laboratory results. All these findings were reviewed according to the EPOS 2020 acute sinusitis diagnosis criteria and were analyzed to determine if ISS symptoms and signs fulfilled them.

Results

The patients included 40 men and 96 women, ranging in age from 17 to 86 years (mean ± SD, 37 ± 15.2 years). A positive endoscopy and radiography were encountered in 29.4%, and headache was present in 98%; the most common type was retro-orbital headache (31%). The results showed that there is no relationship between the symptoms of isolated sphenoidal sinusitis and the criteria for diagnosing acute sinusitis according to EPOS 2020.

Conclusion

ISS is an uncommon entity encountered in clinical practice with non-specific symptoms and a potential for complications. Therefore, the condition must be kept in mind by clinicians, and prompt diagnosis and treatment must be initiated. This kind of sinusitis does not fulfill the standard guidelines for acute sinusitis diagnosis criteria.
Literature
1.
go back to reference Cheung DK, Martin GF, Rees J (1992) Surgical approaches to the sphenoid sinus. J Otolaryngol 21:1–8PubMed Cheung DK, Martin GF, Rees J (1992) Surgical approaches to the sphenoid sinus. J Otolaryngol 21:1–8PubMed
2.
go back to reference Lew D, Southwick FS, Montgomery WW et al (1983) Sphenoid sinusitis: a review of 30 cases. N Engl J Med 309:1149–1154CrossRefPubMed Lew D, Southwick FS, Montgomery WW et al (1983) Sphenoid sinusitis: a review of 30 cases. N Engl J Med 309:1149–1154CrossRefPubMed
3.
go back to reference Knisely A, Holmes T, Barham H, Sacks R, Harvey R (2017) Isolated sphenoid sinus opacification: a systematic review. Am J Otolaryngol 38(2):237–243CrossRefPubMed Knisely A, Holmes T, Barham H, Sacks R, Harvey R (2017) Isolated sphenoid sinus opacification: a systematic review. Am J Otolaryngol 38(2):237–243CrossRefPubMed
4.
go back to reference Grillone P (2004) Kasznica, “Isolated sphenoid sinus disease.” Otolaryngol Clin N Am 37(2):435–451CrossRef Grillone P (2004) Kasznica, “Isolated sphenoid sinus disease.” Otolaryngol Clin N Am 37(2):435–451CrossRef
5.
go back to reference Sieskiewicz A et al (2011) Isolated sphenoid sinus pathologies—the problem of delayed diagnosis. Med Sci Monit 17:180–184CrossRef Sieskiewicz A et al (2011) Isolated sphenoid sinus pathologies—the problem of delayed diagnosis. Med Sci Monit 17:180–184CrossRef
6.
go back to reference Martin TJ, Smith TL, Smith MM, Loehrl TA (2002) Evaluation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg 128(12):1413–1419CrossRefPubMed Martin TJ, Smith TL, Smith MM, Loehrl TA (2002) Evaluation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg 128(12):1413–1419CrossRefPubMed
7.
go back to reference Berg O, Carenfelt C (1988) Analysis of symptoms and clinical signs in the maxillary sinus empyema. Acta Otolaryngol 105:343–349CrossRefPubMed Berg O, Carenfelt C (1988) Analysis of symptoms and clinical signs in the maxillary sinus empyema. Acta Otolaryngol 105:343–349CrossRefPubMed
9.
go back to reference Hickner JM, Bertlett J, Besoler RE et al (2001) Principles of appropriate antibiotic use for acute sinusitis in adults: background position paper American College of Physicians-American Society of Internal Medicine. Ann Intern Med 134:498–505CrossRefPubMed Hickner JM, Bertlett J, Besoler RE et al (2001) Principles of appropriate antibiotic use for acute sinusitis in adults: background position paper American College of Physicians-American Society of Internal Medicine. Ann Intern Med 134:498–505CrossRefPubMed
10.
go back to reference Gadosnaki AM (1993) Potential interventions for preventing pneumonia among young children: lack of effect of antibiotic treatment for upper respiratory infections. Pediatr Infect Dis J 12:115–120CrossRef Gadosnaki AM (1993) Potential interventions for preventing pneumonia among young children: lack of effect of antibiotic treatment for upper respiratory infections. Pediatr Infect Dis J 12:115–120CrossRef
11.
go back to reference Lindbaek M, Hjortdahl P (2002) The clinical diagnosis of acute purulent sinusitis in general practice—a review. Br J Gen Pract 52:491–495PubMedPubMedCentral Lindbaek M, Hjortdahl P (2002) The clinical diagnosis of acute purulent sinusitis in general practice—a review. Br J Gen Pract 52:491–495PubMedPubMedCentral
12.
go back to reference Lacroix JS, Ricchetti A, Lew D et al (2002) Symptoms and clinical and radiological signs predict the presence of pathogenic bacteria in acute rhinosinusitis. Acta Otolaryngol 122:192–196CrossRefPubMed Lacroix JS, Ricchetti A, Lew D et al (2002) Symptoms and clinical and radiological signs predict the presence of pathogenic bacteria in acute rhinosinusitis. Acta Otolaryngol 122:192–196CrossRefPubMed
13.
go back to reference Druce HM (1992) Diagnosis of sinusitis in adults: history, physical examination, nasal cytology, echo, and rhinoscope. J Allergy Clin Immunol 90:436–441CrossRefPubMed Druce HM (1992) Diagnosis of sinusitis in adults: history, physical examination, nasal cytology, echo, and rhinoscope. J Allergy Clin Immunol 90:436–441CrossRefPubMed
14.
go back to reference Ray DA (2001) Rohren CH Characteristics of patients with upper respiratory tract infections presenting to a walk-in clinic. Mayo Clin Proc 76:169–173CrossRefPubMed Ray DA (2001) Rohren CH Characteristics of patients with upper respiratory tract infections presenting to a walk-in clinic. Mayo Clin Proc 76:169–173CrossRefPubMed
15.
go back to reference Alho OP, Ylitalo K, Jokinen K et al (2001) The common cold in patients with a history of recurrent sinusitis: increased symptoms and radiologic sinusitis-like findings. J Fam Pract 50:26–31PubMed Alho OP, Ylitalo K, Jokinen K et al (2001) The common cold in patients with a history of recurrent sinusitis: increased symptoms and radiologic sinusitis-like findings. J Fam Pract 50:26–31PubMed
16.
go back to reference Fokkens W, Desrosiers M, Harvey R, Hopkins C, Mullol J, Philpott C, et al. EPOS2020: development strategy and goals for the latest European Position Paper on Rhinosinusitis Rhinology. 2019;57(3):162–8. Fokkens W, Desrosiers M, Harvey R, Hopkins C, Mullol J, Philpott C, et al. EPOS2020: development strategy and goals for the latest European Position Paper on Rhinosinusitis Rhinology. 2019;57(3):162–8.
21.
go back to reference Spector SL, Bernstein IL, Li JT, Berger WE, Kaliner MA, Schuller DE et al (1998) Parameters for the diagnosis and management of sinusitis. J Allergy Clin Immunol 102:S107–S144CrossRefPubMed Spector SL, Bernstein IL, Li JT, Berger WE, Kaliner MA, Schuller DE et al (1998) Parameters for the diagnosis and management of sinusitis. J Allergy Clin Immunol 102:S107–S144CrossRefPubMed
22.
go back to reference Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F et al (2012) European position paper on rhinosinusitis 4 and nasal polyps, 2012. Rhinol Suppl 23:1–298 Fokkens WJ, Lund VJ, Mullol J, Bachert C, Alobid I, Baroody F et al (2012) European position paper on rhinosinusitis 4 and nasal polyps, 2012. Rhinol Suppl 23:1–298
23.
go back to reference Lew D, Southwick FS, Montgomery WW, Weber AL, and Baker AS (1983) Sphenoid sinusitis. A review of 30 cases New Eng J Med 309: 1149–1154. Lew D, Southwick FS, Montgomery WW, Weber AL, and Baker AS (1983) Sphenoid sinusitis. A review of 30 cases New Eng J Med 309: 1149–1154.
25.
go back to reference Barrs DM, McDonald TJ, Whisant JP (1992) Metastatic tumors in the sphenoid sinus. Laryngoscope 89:1239–1243CrossRef Barrs DM, McDonald TJ, Whisant JP (1992) Metastatic tumors in the sphenoid sinus. Laryngoscope 89:1239–1243CrossRef
26.
go back to reference Hnatuk LA, Macdonald RE, Papsin BC (1994) Isolated sphenoid sinusitis: the Toronto Hospital for Sick Children experience and review of the literature. J Otolaryngol 23:36–41PubMed Hnatuk LA, Macdonald RE, Papsin BC (1994) Isolated sphenoid sinusitis: the Toronto Hospital for Sick Children experience and review of the literature. J Otolaryngol 23:36–41PubMed
Metadata
Title
Does acute isolated sphenoidal sinusitis meet the criteria of the recent acute sinusitis guidelines, EPOS2020?
Authors
Raed Farhat
Ashraf Khater
Nidal El Khatib
Majd Asakly
Aviva Ron
Alaa Safia
Marwan Karam
Saqr Massoud
Yaniv Avraham
Shlomo Merchavy
Publication date
16-01-2024
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 5/2024
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-023-08405-y

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