Journal of the Louisiana State Medical Society
Immediate surgery is necessary if the patient does not re- spond promptly to medical therapy or at the first sign of a complication. Surgery should aim to remove any purulent material or necrotic tissue, maintain adequate drainage of the sinus, and obtain cultures. 2 Early surgical intervention provides the best chances at preventing permanent vision loss. However, even with prompt treatment, full restoration of vision may not always be obtainable. 6 REFERENCES 1. Wankhar B, Bapuraj JR, GuptaAK, et al. Chronic sphenoid sinusitis revisited. Comparison of multidetector axial sections, multiplanar reconstructions, and virtual sinoscopy with endoscopic sinus surgery. Arch Otolaryngol Head Neck Surg . 2007;133(7):710-716. 2. Postma G, Chole R, Nemzek W. Reversible blindness secondary to acute sphenoid sinusitis. Otolaryngol Head and Neck Surgery . 1995;112(6):742-6. 3. Patt B, Manning C. Blindness resulting from orbital complications of sinusitis. Otolaryngol Head Neck Surg . 1991;104: 789–795.
4. Oruckaptan H, Akdemir P and Ozgen T. Isolated sphenoid sinus abscess: clinical and radiological failure in preoperative diagnosis. Case report and review of the literature. Surg Neurol. 2000;53(2):174–7. 5. Sapçı T, Derin E, Almaç S, Cumalı R, Saydam B,Karavus M. The relationship between the sphenoid and the posterior ethmoid sinuses and the optic nerves in Turkish patients. Rhinolog . 2004;42(1):30-34. 6. FarboudA, TrinidadeA, Shakeel M, Rajapksa S, Hanif J. Unilateral blindness secondary to acute sphenoid sinusitis. Royal Belgian Society for Ear, Nose, Throat . 2011;7(1):47-49.
Drs. Le and Rosenberg are with the Tulane University School of Medicine. Dr. Valenzuela is with the Department of Ophthalmology at Tulane University School of Medicine. Drs. Allen and Palacios are with the Department of Radiology at Tulane University School of Medicine.
72 J La State Med Soc VOL 166 March/April 2014
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