Skip to main content

Endoscopic approaches to the sphenoid: How I do it?

  • The Erratum to this article has been published in The Egyptian Journal of Otolaryngology 2015 31:Art13


Sphenoid sinus disease is recognized as an unusual clinical entity. It is likely that it is under-reported because of its lack of recognition as it has an insidious onset with nonspecific symptoms. Further, optimal physical examination is difficult because of the relative inaccessibility of the sinus. During the past decades, endoscopic sphenoid surgery has been the standard approach worldwide. There are many variables to be considered while selecting the best endoscopic approach to the sphenoid. In this work, the author describes different endoscopic approaches to the sphenoid with their clinical application.


  1. 1

    Nour YA, Al-Madani A, El-Daly A, Gaafar A. Isolated sphenoid sinus pathology: spectrum of diagnostic and treatment modalities. Auris Nasus Larynx 2008; 35: 500–508.

    Article  Google Scholar 

  2. 2

    Martin TJ, Smith TL, Smith MM, Loehrl TA. Evaluation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg 2002; 128: 1413–1419.

    Article  Google Scholar 

  3. 3

    Grillone GA, Kasznica P. Isolated sphenoid sinus disease. Otolaryngol Clin North Am 2004; 37: 435–451.

    Article  Google Scholar 

  4. 4

    Cappabianca P, de Divitiis E. Endoscopy and transsphenoidal surgery. Neurosurgery 2004; 54: 1043–1050.

    Article  Google Scholar 

  5. 5

    Gibbons MD, Sillers MJ. Minimally invasive approaches to the sphenoid sinus. Otolaryngol Head Neck Surg 2002; 126: 635–641.

    Article  PubMed Central  Google Scholar 

  6. 6

    Friedman A, Batra PS, Fakhri S, Citardi MJ, Lanza DC. Isolated sphenoid sinus disease: etiology and management. Otolaryngol Head Neck Surg 2005; 133: 544–550.

    Article  Google Scholar 

  7. 7

    Kim SW, Kim DW, Kong IG, Kim DY, Park SW, Rhee CS, Min YG. Isolated sphenoid sinus diseases: report of 76 cases. Acta Otolaryngol 2008; 128: 455–459.

    Article  PubMed Central  Google Scholar 

  8. 8

    Bolger WE. Endoscopic transpterygoid approach to the lateral sphenoid recess: surgical approach and clinical experience. Otolaryngol Head Neck Surg 2005; 133: 20–26.

    Article  PubMed Central  Google Scholar 

  9. 9

    D’Antonio M, Palacios E, Scheuemann C. CSF fistula secondary to sphenoid meningoencephalocele. Ear Nose Throat J 2003; 82:912–913.

    Article  PubMed Central  Google Scholar 

  10. 10

    Kumar S, Darr A, Hobbs CG, Carlin WV. Endoscopic, endonasal, transsphenoidal hypophysectomy: retrospective analysis of 171 procedures. J Laryngol Otol 2012; 126: 1033–1040.

    CAS  Article  Google Scholar 

Download references

Author information



Corresponding author

Correspondence to Tamer A. Youssef MD.

Additional information

Conflicts of interest

There are no conflicts of interest.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Youssef, T.A. Endoscopic approaches to the sphenoid: How I do it?. Egypt J Otolaryngol 29, 284–289 (2013).

Download citation


  • approaches
  • endoscopy
  • sphenoid
  • sphenoidotomy