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Arrested Pneumatization of the Sphenoid Sinus: A Normal Variant That Can Be Confused With a Pathological Entity

Year 2019, Volume: 5 Issue: 2, 170 - 174, 01.04.2019
https://doi.org/10.5455/umj.20190113015455

Abstract

Background: An arrested pneumatization of the sphenoid sinus is an anatomical variant. It is known that the sphenoid bones undergo early fatty marrow conversion antecedent to normal pneumatization. Since it is a developmental condition, it usually occurs as a coincidental finding. The clinical symptoms specific to this entity are not attributable. They are seen incidentally during radiological examinations. If not recognized, it can be easily confused with pathological lesions. In this article, we aimed to draw attention to this rare situation by observing the current literature with three cases. Conclusion: In conclusion, making a correct diagnosis of AP of sphenoid sinus, an incidentally detected benign, asymptomatic developmental variation, and making a careful distinction of it from other lesions will save patients from unnecessary biopsy and surgical procedures.

References

  • 1. Kuntzler S, Jankowski R. Arrested pneumatization: the witness of paranasal sinuses development? Eur Ann Otorhinolaryngol Head Neck Dis. 2014; 131: 167-70
  • 2. Jalali E, Tadinada A. Arrested pneumatization of the sphenoid sinus mimicking intraosseous lesions of the skull base. Imaging Sci Dent. 2015; 45: 67-72
  • 3. De Jong MD, Fassaert TA, Ranschaert ER. Arrested pneumatization of the skull base JBR-BTR. 2011;94:114-5
  • 4. Aoki S, Dillon WP, Barkovich AJ, Norman D. Marrow conversion before pneumatization of the sphenoid sinus: assessment with MR imaging. Radiology 1989; 172:373-5
  • 5. Prabhu AV, Branstetter BF IV. The CT Prevalence of Arrested Pneumatization of the Sphenoid Sinus in Patients with Sickle Cell Disease. AJNR Am J Neuroradiol. 2016; May 5
  • 6. Jang YJ, Kim SC. Pneumatization of the sphenoid sinus in children evaluated by magnetic resonance imaging. American Journal of Rhinology 2000;14:181-5.
  • 7. Sevinc O, Is M, Barut C, Erdogan A. Anatomic Variations of Sphenoid Sinus Pneumatization in a Sample of Turkish Population: MRI Study. Int J Morphol. 2014; 32: 1140-43
  • 8. Welker KM, DeLone DR, Lane JI, Gilbertson JR. Arrested pneumatization of the skull base: imaging characteristics. AJR -American Journal of Roentgenology. 2008;190: 1691-6
  • 9. Adin ME, Ozmen CA, Aygun N. Utility of the Vidian Canal in Endoscopic Skull Base Surgery: Detailed Anatomy and Relationship to the Internal Carotid Artery. World neurosurgery. 2019; 121: e140-6
  • 10. Katz J, Underhill T. Arrested pneumatization of the sphenoid sinus. Quintessence Int. 2013; 44:437-41
  • 11. T-A Mehrnaz, Barghan S, Bennett J, Katkar RA, Nair MK. Arrested Pneumatization of the Sphenoid Sinus on Large Field-of-View Cone Beam Computed Tomography Studies. Dent. J. 2015; 3:67-76
  • 12.Jalali E, Tadinada A. Arrested pneumatization of the sphenoid sinus mimicking intraosseous lesions of the skull base. Imaging Science in Dentistry. 2015; 45:67-72
  • 13.Altinbas NK, Gural G, Gunes A, Derinkuyu BE, Unlu HA. Arrested Pneumatization in Pediatric Age Group: Computed Tomography and Magnetic Resonance Imaging Findings. J Pediatr Neuroradiol 2015; 4:7–10
Year 2019, Volume: 5 Issue: 2, 170 - 174, 01.04.2019
https://doi.org/10.5455/umj.20190113015455

Abstract

References

  • 1. Kuntzler S, Jankowski R. Arrested pneumatization: the witness of paranasal sinuses development? Eur Ann Otorhinolaryngol Head Neck Dis. 2014; 131: 167-70
  • 2. Jalali E, Tadinada A. Arrested pneumatization of the sphenoid sinus mimicking intraosseous lesions of the skull base. Imaging Sci Dent. 2015; 45: 67-72
  • 3. De Jong MD, Fassaert TA, Ranschaert ER. Arrested pneumatization of the skull base JBR-BTR. 2011;94:114-5
  • 4. Aoki S, Dillon WP, Barkovich AJ, Norman D. Marrow conversion before pneumatization of the sphenoid sinus: assessment with MR imaging. Radiology 1989; 172:373-5
  • 5. Prabhu AV, Branstetter BF IV. The CT Prevalence of Arrested Pneumatization of the Sphenoid Sinus in Patients with Sickle Cell Disease. AJNR Am J Neuroradiol. 2016; May 5
  • 6. Jang YJ, Kim SC. Pneumatization of the sphenoid sinus in children evaluated by magnetic resonance imaging. American Journal of Rhinology 2000;14:181-5.
  • 7. Sevinc O, Is M, Barut C, Erdogan A. Anatomic Variations of Sphenoid Sinus Pneumatization in a Sample of Turkish Population: MRI Study. Int J Morphol. 2014; 32: 1140-43
  • 8. Welker KM, DeLone DR, Lane JI, Gilbertson JR. Arrested pneumatization of the skull base: imaging characteristics. AJR -American Journal of Roentgenology. 2008;190: 1691-6
  • 9. Adin ME, Ozmen CA, Aygun N. Utility of the Vidian Canal in Endoscopic Skull Base Surgery: Detailed Anatomy and Relationship to the Internal Carotid Artery. World neurosurgery. 2019; 121: e140-6
  • 10. Katz J, Underhill T. Arrested pneumatization of the sphenoid sinus. Quintessence Int. 2013; 44:437-41
  • 11. T-A Mehrnaz, Barghan S, Bennett J, Katkar RA, Nair MK. Arrested Pneumatization of the Sphenoid Sinus on Large Field-of-View Cone Beam Computed Tomography Studies. Dent. J. 2015; 3:67-76
  • 12.Jalali E, Tadinada A. Arrested pneumatization of the sphenoid sinus mimicking intraosseous lesions of the skull base. Imaging Science in Dentistry. 2015; 45:67-72
  • 13.Altinbas NK, Gural G, Gunes A, Derinkuyu BE, Unlu HA. Arrested Pneumatization in Pediatric Age Group: Computed Tomography and Magnetic Resonance Imaging Findings. J Pediatr Neuroradiol 2015; 4:7–10
There are 13 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Mehmet H Atalar

Publication Date April 1, 2019
Published in Issue Year 2019 Volume: 5 Issue: 2

Cite

Vancouver Atalar MH. Arrested Pneumatization of the Sphenoid Sinus: A Normal Variant That Can Be Confused With a Pathological Entity. ULUTAS MED J. 2019;5(2):170-4.