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The sphenoid sinus is a paired paranasal sinus in the body of the sphenoid bone. It is one pair of the four paired paranasal sinuses. [1] The two sphenoid sinuses are separated from each other by a septum. Each sphenoid sinus communicates with the nasal cavity via the opening of sphenoidal sinus.
A sphenoparietal sinus is situated under each lesser wing of the sphenoid bone near the posterior edge of this bone, [2] between the anterior cranial fossa and middle cranial fossa. [ citation needed ] It terminates by draining into the anterior part of the cavernous sinus .
Because the maxillary posterior teeth are close to the maxillary sinus, this can also cause clinical problems if any disease processes are present, such as an infection in any of these teeth. These clinical problems can include secondary sinusitis, the inflammation of the sinuses from another source such as an infection of the adjacent teeth. [6]
The lateral surfaces of the body are united with the greater wings of the sphenoid and the medial pterygoid plates. Above the attachment of each greater wing is a broad groove, curved something like the italic letter f; it lodges the internal carotid artery and the cavernous sinus , and is named the carotid sulcus .
Sinus films are helpful in the diagnosis of sphenoid sinusitis. Opacification, sclerosis, and air-fluid levels are typical findings. Contrast-enhanced CT scan may reveal underlying sinusitis , thickening of the superior ophthalmic vein, and irregular filling defects within the cavernous sinus; however, findings may be normal early in the ...
Certain causes of chronic sinusitis can be allergies that have been left untreated, bacterial or fungal infections within one or more of the sinus cavities or any allergic disorders which targets and increases the sensitivity of the mucous membrane linings which surround the sinus cavities and nasal passages. Symptoms of chronic sinusitis are ...
The pressure difference causes the mucosal lining of the sinuses to become swollen and submucosal bleeding follows with further difficulties ventilating the sinus, especially if the orifices are involved. Ultimately fluid or blood will fill the space. In most cases of sinus barotrauma, localized pain to the frontal area is the predominant symptom.
This involves penetrating three separate sinus cavities: the ethmoid sinus, the sphenoidal sinus, and the maxillary sinus. Surgeons use this method to reach the cavernous sinus, lateral sphenoid sinus, infra temporal fossa, pterygoid fossa, and the petrous apex. Surgery includes a uninectomy (removal of the osteomeatal complex), a medial ...
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