Visual Loss as the Only Symptom of Sphenoid Sinus Mucocele

McCarthy, W L; Frenkel, Marcel; Busse, Bruce J.

doi:10.1016/0002-9394(72)90734-9

Cited by 27 publications

(8 citation statements)

References 23 publications

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“…Mucocele of the sphenoid sinus is rare (Nugent et al, 1970;McCarthy et al, 1972). Among the many neurological, nasal, and visual symptoms, gradual visual loss is sometimes the only clinical finding, as reported by Stanton (1970).…”

Section: Discussionmentioning

confidence: 99%

Ocular complications in craniofacial fibrous dysplasia.

Liakos¹,

Walker²,

Carruth³

1979

British Journal of Ophthalmology

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SUMMARY Three cases of craniofacial fibrous dysplasia are reported, all presenting to the ophthalmologist first. They all had ocular complications due either to direct involvement of the orbital bones or to secondary complications. Sphenoidal mucocele is added to the other complications previously reported, and accordingly a classification of the various ways that fibrous dysplasia can affect the ocular structures is proposed.

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Section: Discussionmentioning

confidence: 99%

Ocular complications in craniofacial fibrous dysplasia.

Liakos¹,

Walker²,

Carruth³

1979

British Journal of Ophthalmology

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“…Isolated sphenoid sinus mucocoeles are rare and have previously been reported as comprising about 1% of these paranasal sinus lesions 17,21 . Although pain that is felt retro‐orbitally and headache are the most common symptoms, 22–24 patients with sphenoid sinus mucocoeles usually present with visual symptoms. Diplopia, ocular muscle paresis, exophthalmos and partial or complete visual loss (unilateral or bilateral) have been reported 3,22,23,25–32 .…”

Section: Discussionmentioning

confidence: 99%

“…Although pain that is felt retro‐orbitally and headache are the most common symptoms, 22–24 patients with sphenoid sinus mucocoeles usually present with visual symptoms. Diplopia, ocular muscle paresis, exophthalmos and partial or complete visual loss (unilateral or bilateral) have been reported 3,22,23,25–32 . Orbital extension from a maxillary sinus mucocoele is rare, with facial and intranasal swellings being the usual route of extension 33 .…”

Section: Discussionmentioning

confidence: 99%

The place of endoscopic sinus surgery in the treatment of paranasal sinus mucocoeles

Conboy

Jones

2003

Clin Otolaryngol

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Mucocoeles of the paranasal sinuses often enlarge slowly resulting in local bone erosion with subsequent extension into the adjacent orbit or intracranial space. We have reviewed the management of 59 patients with 68 mucocoeles. The variety of presentations is examined and discussed. Although diplopia has previously been stated as a very common finding we have found this not to be the case and believe that it may be that previous reports originate from ophthalmology centres. Forty-four patients underwent endoscopic surgical management of their mucocoeles, nine had a combined external and endoscopic procedure and 14 patients had an external approach. One patient needed no surgery. The mean follow-up period was 6 years 3 months. There was the lowest number of recurrences in the endoscopic surgical group. We emphasize the importance of long-term follow-up.

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“…Fortunately the patient was presenting only headache and he received treatment before other symptoms occurred, especially visual loss. Some authors report irreversible visual loss due to sphenoidal mucocele after surgical treatment [9, 10]. …”

Section: Discussionmentioning

confidence: 99%

Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations

García

Álvarez

Pérez

et al. 2017

Case Reports in Otolaryngology

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Introduction The paranasal sinuses mucoceles are benign expansive cystic lesions that occur rarely in the sphenoid sinus and contain mucous material enclosed by cylindrical pseudostratified epithelium. Objective To report one case of sphenoid sinus mucocele that occurred with headache and was submitted to surgical treatment through endonasal endoscopy approach. Case Report 59-year-old male patient with history of increasing frontoorbital, bilateral, fluctuating headache and exophthalmos. There was no other associated clinical abnormality. Computed Tomography (CT) and Magnetic Resonance Image (MRI) scans confirmed an expansive mass of sphenoid sinus, suggesting mucocele. The patient was submitted to endonasal endoscopic surgery with posterior ethmoidotomy, large sphenoidotomy, and marsupialization of the lesion. Conclusion Mucoceles of the sphenoid sinus are a very rare condition with variable clinical and radiological presentation. Surgical treatment is absolutely indicated and early treatment avoids visual damage that can be permanent. Endonasal endoscopic approach with drainage and marsupialization of sphenoid sinus, using a transnasal corridor, is a safe and effective treatment modality.

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Visual Loss as the Only Symptom of Sphenoid Sinus Mucocele

Cited by 27 publications

References 23 publications

Ocular complications in craniofacial fibrous dysplasia.

Ocular complications in craniofacial fibrous dysplasia.

The place of endoscopic sinus surgery in the treatment of paranasal sinus mucocoeles

Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations

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