Sphenoid sinus affections in children are very rare occurrences due to the late development of the sinus and treatment may present quite a challenge even to the most skillful surgeon because of the small nasal fossae. Due to the often vague and uncharacteristic symptomatology sphenoid sinus disease is misdiagnosed and the treatment is delayed, sometimes with serious complications that are life threatening if not properly managed. We present the case of a six year old patient with a mucocele affecting an unusually large sphenoid sinus with concomitant Graves-like ophthalmopathy that has been treated through functional endoscopic sinus surgery but also needed prolonged cortisonic treatment.
Our study on the anatomical variation of pneumatisation of the sphenoid sinuses was performed on 200 tomographical studies, evaluating the anatomical variations of the sphenoid sinuses and the Onodi cells, the types of pneumatisation according with the types described by Hammer and Radberg, as well as the extensions of pneumatisation towards the anterior clinoid processes, pterygoid processes and sphenoidal wings; the frequency of intrasphenoidal protrusions and dehiscences of internal carotid artery, optic nerve, Vidian canal and foramen rotundum and the presence of primary and secondary septa attached to their canals.
R. Chirică, Gh.I. Comșa, I. Ion, C. Adumitresi, N. Rădulescu, C. Farcaș, A.C. Ștefănescu and F. M. Oniceanu
We live in a noisy world. We constantly undergoing in various types of noise that affect our quality of life. It is well known that noise is not only a problem but also a serious threat to health. The effects, that noise exposure has on health is a public serious problem, and is becoming more acute, which can occur at both, mentally and physically levels