An inverted papilloma isolated to the sphenoid sinus in a pediatric patient

Abstracts with complaint of recurrent vomiting for past 15 days. Clinical examination revealed a pedunculated polypoid mass arising from upper pole of left tonsil which was excised under general anesthesia. A diagnosis of pedunculated hamartomatous polyp of palatine tonsil was made based on histopathological findings. An unusual presentation of a rare condition in a pediatric patient has been discussed along with the histopathological findings. DOI: 10.1016/j.ijporl.2008.01.038

An inverted papilloma isolated to the sphenoid sinus in a pediatric patient Hyung-Ju Cho a, Jin-Kook Kim b, Kyung-Soo Kim a, Je-Young Chun a, Joo-Heon Yoon a,* a Department of Otorhinolaryngology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, 120-752 Seoul, Republic of Korea b Department of Otorhinolaryngology, Konkuk University College of Medicine, Seoul, Republic of Korea

A sinonasal inverted papilloma is a benign tumor which has been reported up to 4%. However, an inverted papilloma originating in the sphenoid sinus is even rarer, and a pediatric case has never before been reported. We report a case of pediatric inverted papilloma originating in the sphenoid sinus that presented with symptoms of sinusitis. Endoscopic sinus surgery was performed using a computer-aided image-guided system. The tumor was removed without any surgical complications or recurrence for 2 years. DOI: 10.1016/j.ijporl.2008.01.039

Juvenile nasopharyngeal angiofibroma involving the cavernous sinus: Does surgery have a role? Arvind Singh a,*, Roxana Gunny c, David Dunaway b, Ben Hartley a a Department of Paediatric Otolaryngology, Great Ormond Street Hospital, London WC1N 3JH, UK b Department of Craniofacial Reconstruction, Great Ormond Street Hospital, London WC1N 3JH, UK c Department of Imaging, Great Ormond Street Hospital, London WC1N 3JH, UK Juvenile nasopharyngeal angiofibroma involving the cavernous sinus poses a difficult dilemma. In the UKJ

925 practice, radiotherapy is often recommended but has significant implications due to tumour volume and patient age. We present two cases of JNA involving the cavernous sinus treated by surgical excision. The surgical approaches and literature are discussed. In these cases, it was possible to separate the disease from the cavernous sinus without neurological sequelae. In advanced juvenile nasopharyngeal angiofibroma involving the cavernous sinus, surgical treatment remains an important option.

DOI: 10.1016/j.ijporl.2008.01.040

Isolated acute sphenoiditis with visual loss: A rare disorder in pediatric patients Marco Berlucchi a,*, Manuela Rossini a, Maria P. Bondioni b, Piero Nicolai c a Department of Pediatric Otorhinolaryngology, Spedali Civili, Piazza Spedali Civili 1, 25123 Brescia, Italy b Department of Pediatric Radiology, University of Brescia, Brescia, Italy c Department of Otorhinolaryngology, University of Brescia, Brescia, Italy

Although inflammatory disease of the sinuses is a common pathology in pediatric patients, isolated acute sphenoiditis is a rare disorder and its diagnosis is difficult due to the non-specific clinical picture. Since the sphenoid sinus has anatomical relationships with several vital structures, any delay of correct diagnosis, and therefore of prompt and adequate treatment, can result in severe and life-threatening complications. Broad-spectrum antibiotic therapy is usually sufficient to resolve sphenoiditis, but when symptoms persist or complications occur, surgical drainage of the sinus is mandatory. To date, several surgical approaches are available to drain the sphenoid sinus. We report the history of an 11-year-old girl with sphenoiditis complicated with unilateral visual loss treated with transnasal endoscopic surgery, which led to complete resolution of symptoms. Furthermore, the importance of correct diagnosis and treatment of this rare disease is also highlighted.

DOI: 10.1016/j.ijporl.2008.01.041