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Doctor insights on: Sphenoid Sinus Mucosal Disease

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MRI says, minor mucosal disease in the sphenoid sinus. Minor sphenoid sinus mucosal thickening. Should I be concerned?

MRI says, minor mucosal disease in the sphenoid sinus. Minor sphenoid sinus mucosal thickening. Should I be concerned?

Usually no: Mild mucosal thickening in the sinuses is commonly seen on MRI. It can be the result of allergies. Fluid in the sinuses is more concerning as it can indicate infection (sinusitis) ...Read more

Dr. James Krick
3 doctors shared insights

Sinus (Definition)

In anatomy, a sinus is a cavity within a bone or other tissue. Most commonly found in the bones of the face and connecting with the nasal cavities. Sinus (anatomy), description of the general term paranasal sinuses, air cavities in the cranial bones, especially those near the nose, including: the maxillary sinuses, also called the maxillary antra and the largest of the ...Read more


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Mri for dizziness and foggy feeling shows, minor mucosal disease in sphenoid sinus. Minor sphenoid mucosal thickening. What does this mean ? Thank you

Mri for dizziness and foggy feeling shows, minor mucosal disease in sphenoid sinus. Minor sphenoid mucosal thickening. What does this mean ? Thank you

Probably not: Can be either chronic infection which is less likely or possibly chronic hay fever or allergies. I agree most likely is not causing dizziness and foggy feelings. Further vertigo testing would be necessary to better determine cause of dizziness. ...Read more

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I had a normal MRI other than sphenoid sinus disease 1 year ago. Recently, I’ve had severe migraines daily. MRA was normal. Should I repeat the MRi?

I had a normal MRI other than sphenoid sinus disease 1 year ago. Recently, I’ve had severe migraines daily. MRA was normal. Should I repeat the MRi?

Repeat MRI. : If you noticed that your normal pattern of migraine headache has changed in frequency and or intensity, then you should repeat the MRI scan of the brain ...Read more

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Looking for info on sphenoid sinus disease/surgery for 8 yr old. Ped ENT observed for 1 yr & has worsened, now surgery. How rare is this procedure?

Looking for info on sphenoid sinus disease/surgery for 8 yr old. Ped ENT observed for 1 yr & has worsened, now surgery. How rare is this procedure?

It depends: Sphenoid sinus disease that causes symptoms such as headaches should be operated on if it does not respond to antibiotics. If there are no symptoms, it probably isn't necessary to do surgery unless the doctor is concerned that there is a mass in the sinus, instead of just swelling or infection. ...Read more

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Can ethmoid and sphenoid sinus diesease be cured with medication?

Can ethmoid and sphenoid sinus diesease be cured with medication?

Depends: Its sounds although you have intractable sinus disease. Given your prior hx:
bilateral medial turbinectomies. Resection of medial walls , of both maxillary sinuses, and a partial ethmoidectony; you might need surgical intervention but i would ask your physician. ...Read more

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What is opafication of sphenoid sinus?

What is opafication of sphenoid sinus?

Blocked sinus: Could have new or old sinus congestion, and may be indicative of an infection. See you doctor, and decide on potential antibiotics. ...Read more

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What does near complete opacification of sphenoid sinus mean?

What does near complete opacification of sphenoid sinus mean?

Sphenoid Sinus: Near complete opacification of sphenoid sinus means that there is material such as blood or mucus that is filling the sinus. ...Read more

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Is there any way to "unopacify" a sinus w/interval opacification? How can one "unopacify" the sphenoid sinus?

Is there any way to "unopacify" a sinus w/interval opacification? How can one "unopacify" the sphenoid sinus?

Treat sinusitis: Opacification of a sinus is xray evidence of sinus full of something empty the sinus opacification goes away it can clear itself if you treat the process causing it to fill congestion, infx being most common rarely surgical drainage is indicated. ...Read more

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How should a sphenoid sinus polyp be treated?

How should a sphenoid sinus polyp be treated?

Leave it alone: Usually a polyp in the sinus that isn't causing symptoms is left alone and doesn't require Rx. ...Read more

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What test best diagnoses a hole in sphenoid sinus?

What test best diagnoses a hole in sphenoid sinus?

Hole is normal : The best test to evaluate the sphenoid sinus is usually a ct scan. The natural drainage hole should be open and secretions should not build up. When they do they cause infection and sometimes pain. Occasionally an MRI is necessary to look for certain growths or rumors in the sphenoid sinus. ...Read more

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If the sphenoid sinus is opacifying increasingly on an interval, can it ever go away and become clear on its own?

If the sphenoid sinus is opacifying increasingly on an interval, can it ever go away and become clear on its own?

Depends..: Depends on the reson of opacification.
If it is an infection (sinusitis) it may get better.
If its due to amss lesion in the sphenooid sinus (like a tumor) most probably it is there to stay , if not treated.
Hope this helps. ...Read more

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Help docs! i'm trying to find out what causes a cyst in your sphenoid sinus?

Help docs! i'm trying to find out what causes a cyst in your sphenoid sinus?

Retention cyst: Retention cysts are found often on MRI scans of the brain. These cysts are usually benign incidental findings that arise from the mucosa in the sinus. When they get large, they can cause some headache from irritation of the surrounding structures. In the abscence of a history of infection with drainage, the cause of these cysts is debated. Treatment is usually conservative. ...Read more

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Are there symptoms or health problems when you have agenesis of the sphenoid sinus?

 Are there symptoms or health problems when you have agenesis of the sphenoid sinus?

It is so rare: I think it would be difficult to say. My guess is that you were having a CT scan or MRI for some facial or sinus symptoms and this was incidentally reported. It would have been present your whole life...it is the result of lack of development in the embryo/fetus. Reportedly it occurs in only 0.026% of people..too few to study. The presence of this shouldn't impact your evaluation or treatment. ...Read more

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Ostiomeatal complexes bilaterally are patent. Septated sphenoid sinus is noted. Left anterior clinoid process is pneumatized". Please explain report?

Sinus: Sounds like a normal scan with common variations in anatomy. The bigger question is what are the symptoms that prompted the scan ...Read more

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What are the symptoms of a sphenoid sinus infection?

What are the symptoms of a sphenoid sinus infection?

Sinusitis: It is the same for all the sinuses except for the location. The sphenoid is up behind your nose so you may feel pressure there with the headaches. All the other symptoms of sinusitis are the same. ...Read more

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What are the symptoms of the sphenoid sinus infection?

What are the symptoms of the sphenoid sinus infection?

Sphenoid: This sinus is the most posterior of the sinuses. Sinusitis here occurs after the other sinuses mainly. Symptoms will still include headache and people complain about it at the top of the head or in the back of the head. It is quite nonspecific as it is more rare. Diagnosis can be by sinus xr. If in doubt, go see your doctor for proper diagnosis please. ...Read more

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Mri notes small layering fluids in sphenoid sinus:what might thisbe?Wouldnormal sinus mucous layer?

Mri notes small layering fluids in sphenoid sinus:what might thisbe?Wouldnormal  sinus mucous layer?

Sinusitis: Layering fluids in a sinus on MRI is an indication of sinusitis, but anything that causes swelling and blockage of the normal drainage of a sinus will cause fluid to collect. Most common causes include viral upper respiratory infections (colds), allergies, and bacterial infections. Rarely fungal infections occur. ...Read more

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What does interval opacification of the sphenoid sinus mean? Differences between the different sinuses?

What does interval opacification of the sphenoid sinus mean? Differences between the different sinuses?

Mucous: Basically when the sinus is opacified, it means that there is mucous or some sort of inflammation of the lining of the sinus. There are various sinuses: maxillary, sphenoid. What differentiates the sinuses is location. For instance maxillary is under your cheek bones. Try cleaning up your diet of starches and sugar, eat more greens and it may all clear up without antibiotics. Hope this helps! ...Read more

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Had FESS & septoplasty on 19th.Had bilateral sphenoid sinus which caused head heaviness. I still sometimes have similar head heaviness.I am scared.

Had FESS & septoplasty on 19th.Had bilateral sphenoid sinus which caused head heaviness. I still sometimes have similar head heaviness.I am scared.

See ENT: if your symptoms are worrisome, and have lasted more than a week or so, you need to have your sinuses, etc, re-evaluated by the MD that did the FESS procedure in the first place. Make the call... ...Read more

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Had sphenoid sinus mucocele removed and arteria in sphenoplatina electrocoagulated due the bleeding. Now and then i still bleed. Should i be worried?

Had sphenoid sinus mucocele removed and arteria in sphenoplatina electrocoagulated due the bleeding. Now and then i still bleed. Should i be worried?

Everyone Heals: Highly vascular area with burning to stop bleeding. Bleeding probably because scar is disrupted. Some people heal faster than others. Just be sure that the bleeding does stop and only happens once and awhile. Good luck and heal fast! ...Read more

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What are possible complications from a sphenoid sinus inf that is not clearing with antib and cortisone? Had fess 2 months ago, avoiding more surgery

What are possible complications from a sphenoid sinus inf that is not clearing with antib and cortisone? Had fess 2 months ago, avoiding more surgery

Sphenoid sinusitis: Hello, the sphenoid sinus is often times referred to as the silent sinus. It sits in the most posterior part of the nasal cavity. It may cause posterior cephalic pain in the occipital area. An infection in this area can cause more PND and cough since it is closest to the nasopharynx. The internal carotid and optic nerves are in close proximity. It's rare that these two structures are involved. ...Read more

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Is sphenoid sinus infection dangerous should I be very worried it?

It can be dangerous: Would see a physician asap. Appropriate antibiotic therapy should be initiated. ...Read more

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I have a cyst in my sphenoid sinus cavity that is 1.5 cm. it was found on a MRI. Should i have it removes or what options are there?

I have a cyst in my sphenoid sinus cavity that is 1.5 cm. it was found on a MRI. Should i have it removes or what options are there?

Usually: retention cysts are incidental findings requiring no further treatment. If you are not having any related symptoms, and if it clearly simply represents a cyst, probably no treatment is necessary, but talk to your doctor about it. ...Read more

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Can sinus lead to brain tumors or brain cancers specially bilateral sphenoid sinus??

Can sinus lead to brain tumors or brain cancers specially bilateral sphenoid sinus??

Sinusitis: Sinus infections can not lead to brain tumors or cancers but can lead to brain infections in some rare cases. If symptoms of sinus infection persist or are associated with severe headache weakness or numbness of arms legs or other neurological symptoms you should consult a doctor of evaluation. Good luck! ...Read more