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Int. J. Clin. Pract. · Oct 2021
Sphenoid Sinus Mucosal Thickening in Patients with Non-functioning Pituitary Adenoma.
- Bayram Şahin and Ömercan Topaloğlu.
- Department of Otorhinolaryngology & Head and Neck Surgery, Kocaeli Health Sciences University Derince Training and Research Hospital, Kocaeli, Turkey.
- Int. J. Clin. Pract. 2021 Oct 1; 75 (10): e14604.
AimThe aim of this study was to evaluate magnetic resonance imaging findings of sphenoid sinus (SS), pituitary gland and related structures in patients with non-functioning pituitary adenoma (NFPA) and compare to a control group.MethodsThis study was conducted in a tertiary referral hospital between January 2018 and July 2020. Sixty-five patients diagnosed with NFPA and age- and gender-matched controls (n = 40) were included.ResultsThe average age in the NFPA group was 37.46 ± 11.2 years and in the control group was 41.97 ± 14.88 years, and they did not differ significantly (P = .103). SS mucosal thickness greater than 1 mm was determined in a higher proportion of NFPA (67.7%) than in the control group (12.5%) (P < .001). A mucosal thickness greater than 3 mm was only present in the NFPA group (43.1%). The distance between optic nerves was significantly longer in the NFPA group compared with control (P < .001). There was a strong positive correlation between adenoma volume and distance between the two optic nerves (r = .728, P < .001). Also, there was a moderate positive correlation between adenoma volume and petrous intercarotid distance (ICD) (r = .561, P < .001) and a low positive correlation between adenoma volume and cavernous ICD (r = .408, P < .001).ConclusionsThe present study showed an association between NFPA and both SS mucosal thickening and increased distance between optic nerves. Also, our study demonstrated that there was a strong positive correlation between adenoma volume and distance between the two optic nerves.© 2021 John Wiley & Sons Ltd.
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