Sphenoid sinus disease. Experience at King Edward VIII Hospital, Durban.

The increasing use of computed tomography (CT) to evaluate sinus disease in general, appears to have led to an increased pickup rate in isolated sphenoid sinus disease. It is probable that subtle disease of the sphenoid sinus was missed before the use of CT as a diagnostic tool. Six patients with sphenoid sinus disease and related pathological conditions seen during the past 2 years, are reviewed; these included 4 mucoceles, 1 case of aspergillosis and 1 of squamous cell carcinoma. Experience with sphenoid disease, with particular reference to the diagnosis, management and complications of this condition, is discussed.