Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation

Abstract Isolated sphenoid sinus opacifications (ISSOs) are clinically important because they can lead to serious complications. However, some patients with ISSOs are asymptomatic, and not all patients are properly referred to the otolaryngology department. Because past studies of ISSOs focused only...

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Autores principales:	Naoki Ashida, Yohei Maeda, Takahiro Kitamura, Masaki Hayama, Takeshi Tsuda, Ayaka Nakatani, Sho Obata, Kazuya Takeda, Hitoshi Akazawa, Fumitaka Inaba, Naohiro Hosomi, Atsuhiko Uno, Hidenori Inohara
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3de0b834188046f8bcb03a3459e389df
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spelling	oai:doaj.org-article:3de0b834188046f8bcb03a3459e389df2021-12-02T17:47:23ZIsolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation10.1038/s41598-021-89995-72045-2322https://doaj.org/article/3de0b834188046f8bcb03a3459e389df2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89995-7https://doaj.org/toc/2045-2322Abstract Isolated sphenoid sinus opacifications (ISSOs) are clinically important because they can lead to serious complications. However, some patients with ISSOs are asymptomatic, and not all patients are properly referred to the otolaryngology department. Because past studies of ISSOs focused only on patients who received treatment, in this study we selected ISSO cases based on radiology reports, then determined whether these patients had symptoms and were appropriately referred for specialty care. We conducted a retrospective analysis of data collected from patients who underwent computed tomography or magnetic resonance imaging from January 2007 to March 2017 at Osaka General Medical Center. We searched for the terms “sphenoid” or “sphenoidal” using F-REPORT to identify patients who had a sphenoid disease. We checked all selected images and diagnosed ISSOs. Examination of 1115 cases revealed 223 cases of ISSOs, of whom 167 (74.9%) were asymptomatic. We categorized patients with ISSOs into four groups: inflammation, mucocele, fungal diseases, and unclassifiable; the final category was used when edges were irregular or complete opacity was encountered. In the unclassifiable group, the majority of cases required otolaryngology consultation, but 37 of 47 unclassifiable patients did not have an otolaryngology visit. ISSOs are often identified by chance on imaging tests performed by non-otolaryngologists. However, our study revealed that many patients with ISSOs who should be treated by otolaryngologists were not referred to the otolaryngology department. Accordingly, it is important to promote awareness of the disease among other types of clinicians.Naoki AshidaYohei MaedaTakahiro KitamuraMasaki HayamaTakeshi TsudaAyaka NakataniSho ObataKazuya TakedaHitoshi AkazawaFumitaka InabaNaohiro HosomiAtsuhiko UnoHidenori InoharaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Naoki Ashida Yohei Maeda Takahiro Kitamura Masaki Hayama Takeshi Tsuda Ayaka Nakatani Sho Obata Kazuya Takeda Hitoshi Akazawa Fumitaka Inaba Naohiro Hosomi Atsuhiko Uno Hidenori Inohara Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation
description	Abstract Isolated sphenoid sinus opacifications (ISSOs) are clinically important because they can lead to serious complications. However, some patients with ISSOs are asymptomatic, and not all patients are properly referred to the otolaryngology department. Because past studies of ISSOs focused only on patients who received treatment, in this study we selected ISSO cases based on radiology reports, then determined whether these patients had symptoms and were appropriately referred for specialty care. We conducted a retrospective analysis of data collected from patients who underwent computed tomography or magnetic resonance imaging from January 2007 to March 2017 at Osaka General Medical Center. We searched for the terms “sphenoid” or “sphenoidal” using F-REPORT to identify patients who had a sphenoid disease. We checked all selected images and diagnosed ISSOs. Examination of 1115 cases revealed 223 cases of ISSOs, of whom 167 (74.9%) were asymptomatic. We categorized patients with ISSOs into four groups: inflammation, mucocele, fungal diseases, and unclassifiable; the final category was used when edges were irregular or complete opacity was encountered. In the unclassifiable group, the majority of cases required otolaryngology consultation, but 37 of 47 unclassifiable patients did not have an otolaryngology visit. ISSOs are often identified by chance on imaging tests performed by non-otolaryngologists. However, our study revealed that many patients with ISSOs who should be treated by otolaryngologists were not referred to the otolaryngology department. Accordingly, it is important to promote awareness of the disease among other types of clinicians.
format	article
author	Naoki Ashida Yohei Maeda Takahiro Kitamura Masaki Hayama Takeshi Tsuda Ayaka Nakatani Sho Obata Kazuya Takeda Hitoshi Akazawa Fumitaka Inaba Naohiro Hosomi Atsuhiko Uno Hidenori Inohara
author_facet	Naoki Ashida Yohei Maeda Takahiro Kitamura Masaki Hayama Takeshi Tsuda Ayaka Nakatani Sho Obata Kazuya Takeda Hitoshi Akazawa Fumitaka Inaba Naohiro Hosomi Atsuhiko Uno Hidenori Inohara
author_sort	Naoki Ashida
title	Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation
title_short	Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation
title_full	Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation
title_fullStr	Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation
title_full_unstemmed	Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation
title_sort	isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/3de0b834188046f8bcb03a3459e389df
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Isolated sphenoid sinus opacification is often asymptomatic and is not referred for otolaryngology consultation

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