Sphenoid Sinus Mucocele

Abstract

\s=b\Sphenoid sinus mucocele is a rare entity that can occur alone or as a result of ethmoid sinusitis and polyposis. A myriad of presentations is possible due to the presence of important contiguous neurologic and vascular structures. Past surgical approaches to the sphenoid sinus have problems associated with them. The endoscopic sinus technique offers outstanding visualization and a safe, straightforward approach to the sphenoid sinus. Four patients with documented mucocele of the sphenoid sinus were treated successfully with endoscopic sinus surgery. The technique involves partial removal of the inferior middle turbinate and direct entrance into the sphenoid sinus through the anterior sinus wall. Other sinus abnormalities can be treated simultaneously as required. Sphenoid sinus mucocele is discussed from the standpoint of cause, clinical presentation, and treatment options. (Arch Otolaryngol Head Neck Surg 1989;115:735-740) Sphenoi d sinus mucocele occurs as a result of sinusitis or natural ostia obstruction. Patients can present with many different signs and symptoms due to the presence of multiple impor¬ tant contiguous neurologic and vascu¬ lar structures. Since Berg first de¬ scribed sphenoid sinus mucocele in 1889, a variety of surgical approaches have been utilized to treat the sphe¬ noid sinus.1 Intracranial, septoplastic, antral, external sphenoethmoid, and extensive intranasal techniques have been described.2 All of these tech¬ niques, however, are problematic. The endoscopie intranasal sphenoid ap¬ proach affords outstanding visualiza¬ tion and a safe, straightforward

Endoscopic Treatment of Sphenoid Sinusitis

“…This study supports the findings of other authors who describe the utility of endoscopic techniques for the treatment of sphenoid sinus disease including mucoceles, 14 fungal sinusitis, 15 and benign neoplasms 16 . Although endoscopic sphenoidotomy appears to be a safe and effective technique, its execution requires proper surgical training and meticulous attention to hemostasis.…”

The natural history and clinical characteristics of paranasal sinus mucoceles: a clinical review

“…In this study, 86.7% of mucoceles occurred in these regions, with those in the frontal sinus most frequently found to have intraorbital or intracranial extension (53.7%). Several series have reported the frequency of isolated sphenoid mucoceles to be between 1% and 3% . However, in this series there were 9 sphenoid mucoceles (7.1%), 2 of which had intracranial extension on presentation (22.2%).…”

Surgical Management of Paranasal Sinus Mucoceles: A Long‐Term Study of 60 Cases

“…Som and Shugar 13 after reviewing the literature, found between 10% and 20% in this site. Isolated cases of sphenoid sinus mucoceles have been published, and a review of the literature found their frequency to be between 1% and 3% 3,14‐16 . Six cases (10%) in our series were found in this site (4 sphenoidal and 2 sphenoethmoidal mucoceles).…”