Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2018, Vol 26, Issue 3
Abstract
IntroductionIsolated Sphenoid Sinusitis and sinus lesions is a rare entity accounting for just 1-3% of all Sinus afflictions. Most have occurred in men between the ages of 30 and 40 years.Case ReportA case of right sphenoid sinus mucocele is reported in a male patient aged 68 years, with size of the lesion (35 x 34 mm) detected by CT & MRI scans. The patient presented with a 3 weeks history of unilateral ptosis, diplopia, and photophobia. He also complained of bilateral nasal obstruction, nasal stuffiness, and a mucoid nasal discharge. Endoscopic decompression of the right sphenoid sinus was performed, and approximately 160 ml of thick, sterile mucoid secretion was aspirated. Despite the size of the mucocele, no significant destruction of the sphenoid walls was evident. Postoperatively within 15 days the patient's symptoms improved significantly.ConclusionThe Nasal Endoscope has revolutionised sphenoid sinus mucocele treatment. An adequate sphenoidotomy and drainage give excellent results.
Authors and Affiliations
Tushar Ghosh, Srijoy Gupta, Pradeep Devineni
Keywords
Related Articles
- EP ID EP434007
- DOI -
- Views 63
- Downloads 0
External Laryngocoele or Anterior Jugular Vein Aneurysm (A Rare Clinical Entity): A Paradox Solved by A Few Simple Non-Invasive Radiological Tests
Introduction The differential diagnosis of a cystic upper neck mass that becomes prominent on coughing, straining, breath holding, or Valsalva manoeuvre includes mediastinal tumours and cysts, external laryngeal diverti...
Factors Responsible for the Diagnostic Delay in Oral Cancer Patients: A Hospital Based Sociodemographic Study in Kolkata
IntroductionOral cancer is a challenging health problem globally. Delay in diagnosis is an important factor in determining the outcome of the disease. It is a major determinant of mortality and morbidity of oral cancer p...
Evaluating Success of Surgery in Mucosal and Squamosal Chronic Otitis Media: A Retrospective Study
This study attempted to document success of surgery postoperatively, be it type I tympanoplasty or type III tympanoplasty with or without modified radical mastoidectomy.Materials and MethodsThis retrospective study invo...
Juvenile Nasopharyngeal Angiofibroma: Changing Paradigms in Management
Introduction Juvenile Nasopharyngeal Angiofibroma (JNA) is a tumor of young and adolescent males. It is a benign vascular tumor arising from the spheno-palatine foramen. It is best managed surgically at present by endosc...
Correlation of Fine Needle Aspiration Cytology with Histopathology in the Diagnosis of Thyroid Swellings
IntroductionFine needle aspiration cytology (FNAC) is now being accepted as the most cost-effective, minimally invasive technique with very low incidence of complications in the diagnosis of most of the thyroid lesions w...