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Acute sphenoid sinusitis

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Acute sphenoidal sinusitis is uncommon. It is usually seen as part of a pansinusitis.

Discriminatory clinical features include:

  • headache - which may be vertical, frontal, occipital or central, or may mimic mastoiditis
  • nasal discharge - seen only by posterior rhinoscopy

Specific treatment:

  • the sphenoiditis may clear with treatment of the other sinusitis
  • severe cases warrant catheterisation of the ostium for aspiration and lavage, or sphenoid puncture if the ostium cannot be found

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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