Isolated sphenoid polyp: a cause of headache

J. R. Galagali, Roohie Singh, Santosh Kumar


Isolated sphenoid sinus polyp is a rare clinical situation. It might be an incidental finding while investigating a case of headache. We report a case of 21 years old male who presented with history of headache since 6 months. Diagnostic nasal endoscopy (DNE) revealed a right nasal mass which was confirmed by computed tomography (CT) of paranasal sinuses (PNS). The patient underwent Functional endoscopic sinus surgery (FESS).This paper emphasizes importance of correct diagnosis and consideration of sphenoid sinus disease as differential diagnosis of patients with headache.


Headache, Isolated, Polyp, Sphenoid

Full Text:



Jesus EPF, Goto EY, Marone SAM, Zagati LL, Haddad A, Portes KP, et al. Sphenochoanal Polyp - Case Report and Literature Review. Int Arch Otorhinolaryngol. 2005;9(4):314-8.

Soh KBK, Tan KK. Sphenochoanal polyps in Singapore: diagnosis and current management. Singapore Med J. 2000;41:1848-87.

Bist SS, Kumar R, Varshney S, Bisht M. Isolated sphenochoanal polyp: a rare clinical entity. Indian J Otolaryngol Head Neck Surg. 2007;59:56-7.

Martin TJ, Smith TL, Smith MM, Loehrl TA. Evalkuation and surgical management of isolated sphenoid sinus disease. Arch Otolaryngol Head Neck Surg. 2002;128(12):1413-9.

Gilony D, Talmi YP, Bedrin L, Ben-Shosan Y, Kronenberg J. The clinical behavior of isolated sphenoid sinusitis. Otolaryngol Head Neck Surg. 2007;136:610-5.

Kim SW, Kim DW, Kong IG, Kim DY, Park SW, Rhee CS, et al. Isolated sphenoid sinus diseases: report of 76 cases. Acta Otolaryngol. 2008;28(4):455-9.

Mra Z, Roach JC, Brook AL. Infectious and neoplastic diseases of the sphenoid sinus- a report of 10 cases. Rhinology. 2002;40(1):34-40.

Tysome JR, Saleh HA. Sphenochoanal polyp presenting with concomitant nasal polyps. Int J Pediatr Otorhinolaryngol. 2000;54:163-6.