Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature

ABSTRACT Isolated sphenoid sinus mucoceles are uncommon and difficult to diagnose clinically owing to the inaccessibility of the sphenoid sinus to clinical examination. A case of infected sphenoid sinus mucocele in which the patient complained of progressive nasal obstruction and postnasal drip without any other classical features of sphenoid sinus mucocele is discussed here. The pathology of mucocele and endoscopic sinus surgery as the treatment has been discussed in this article. How to cite this article Gupta K, Virk RS, Sunku SK. Isolated Sphenoid Sinus Mucocele: A Rare Case and Review of Literature. J Postgrad Med Edu Res 2015;49(2):91-93.

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Allergic fungal rhinosinusitis: an overview on pathogenesis, early diagnosis and management

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20181853 ◽

2018 ◽

Vol 4 (3) ◽

pp. 694 ◽

Cited By ~ 1

Author(s):

Neeraj Suri ◽

Bhavya B. M.

Keyword(s):

Nasal Obstruction ◽

Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Histological Evaluation ◽

Nasal Discharge ◽

Fungal Sinusitis ◽

Surgical Specimen ◽

Specimen Handling ◽

Fungal Rhinosinusitis ◽

Allergic Fungal Rhinosinusitis

Background: The objective of the study was to evaluate the criteria for diagnosing allergic fungal rhinosinusitis and to maintain permanent drainage and ventilation, while preserving the integrity of the mucosa.Methods: This is a prospective study of 50 patients with allergic fungal sinusitis with or without polyposis all of whom were treated with endoscopic debridement. Mucous sample collection, nasal secretion culture, surgical specimen handling, and histological evaluation of surgical specimens are described. All patients treated with endoscopic sinus surgery, debridement, post-operative use of steroids and antifungal therapy. Results: Fungal mucin was found in all 50 cases, histology and fungal cultures confirmed the diagnosis. Out of 50 patients, 29 were females and 21 were males, with a mean age of 32 years. The most common symptom was nasal discharge 41 (82%) cases, nasal obstruction in 38 (76%) cases, headache and facial pain in 32 (72%) cases, 7 (14%) patients had bronchial asthma. Symptoms of nasal obstruction and nasal discharge were improved in 46 (92%) cases. All preoperative versus postoperative changes in AFRS associated complaints reached statistical significance of p value <0.001 except in patients with asthma.Conclusions: Comprehensive management with endoscopic sinus surgery, oral steroids and antifungals reduces the recurrence or need for revision surgery. Long term follow up is very important.

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Sphenoid sinus mucocele: 10 cases and literature review

The Journal of Laryngology & Otology ◽

10.1017/s0022215109991551 ◽

2009 ◽

Vol 124 (1) ◽

pp. 44-47 ◽

Cited By ~ 36

Author(s):

S R Soon ◽

C M Lim ◽

H Singh ◽

D S Sethi

Keyword(s):

Magnetic Resonance Imaging ◽

Computed Tomography ◽

Magnetic Resonance ◽

Endoscopic Sinus Surgery ◽

Sphenoid Sinus ◽

Sinus Surgery ◽

Nasal Discharge ◽

Resonance Imaging ◽

Presenting Symptoms ◽

Singapore General Hospital

AbstractIntroduction:Sphenoid sinus mucoceles represent only 1–2 per cent of all paranasal sinus mucoceles. Patients may present with a myriad of symptoms. Pre-operative investigations include nasoendoscopy, computed tomography and/or magnetic resonance imaging. Treatment is by endoscopic sinus surgery.Methodology:A retrospective review of the archives of the Singapore General Hospital otolaryngology department (1999–2006) identified 10 cases of sphenoid sinus mucocele. Patient demographics, presenting symptoms, investigations and treatment were evaluated.Results:The 10 patients identified (three women and seven men) had a mean age of 54.5 years (range 24–70 years). Thirty per cent of patients had a history of nasopharyngeal carcinoma treated with radiotherapy. Presenting symptoms, in order of decreasing frequency, were: ocular symptoms (50 per cent), headaches (30 per cent), nasal discharge (30 per cent) and facial pain (10 per cent). All patients underwent pre-operative computed tomography or magnetic resonance imaging. Twenty per cent of patients had evidence of intracranial involvement on imaging. All patients underwent uncomplicated transnasal sphenoidotomy and drainage of the mucocele. There was no clinical or radiological evidence of recurrence at a mean follow up of 29 months (range 4–90 months).Conclusion:Sphenoid sinus mucocele is a rare condition. In this study, radiation to the head and neck appeared to be a predisposing factor, and eye symptoms were the commonest presentation. Endoscopic sinus surgery is a safe and effective treatment modality.

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Pharmacological pupil dilatation after sinus surgery

BMJ Case Reports ◽

10.1136/bcr-2020-236666 ◽

2021 ◽

Vol 14 (1) ◽

pp. e236666

Author(s):

Bassem Mettias ◽

Tahir Islam ◽

Theodoros Valsamakis

Keyword(s):

Case Report ◽

Endoscopic Sinus Surgery ◽

Rare Case ◽

Sinus Surgery ◽

Lacrimal Duct ◽

Postoperative Assessment ◽

Rare Case Report ◽

High Concern ◽

Flow Through ◽

Orbital Complications

Orbital complications after endoscopic sinus surgery are serious problems. Inadvertent contamination of the eye by pharmacological solution can lead to early postoperative anxiety to patients and high concern to surgeons. This is a rare case report of retrograde epinephrine flow through lacrimal duct in sinus surgery with learning tips during postoperative assessment for reassurance in temporary pharmacological effect rather than serious complication.

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Does surgical treatment of nasal airway obstruction improve sexual functions?

The Journal of Laryngology & Otology ◽

10.1017/s0022215119001798 ◽

2019 ◽

Vol 133 (09) ◽

pp. 805-809 ◽

Cited By ~ 2

Author(s):

S Cayir ◽

O Hizli ◽

M Gul

Keyword(s):

Surgical Treatment ◽

Nasal Obstruction ◽

Endoscopic Sinus Surgery ◽

Erectile Function ◽

Sinus Surgery ◽

Concha Bullosa ◽

Sexual Performance ◽

Symptom Evaluation ◽

Operative Evaluation ◽

Operative Assessment

AbstractObjectiveTo investigate the effects of surgical treatment for nasal obstruction on sexual functions, regardless of the condition causing the nasal obstruction.MethodsOf 238 patients identified with nasal obstruction, 57 complained of erectile dysfunction and were included in the analysis. Patients underwent septoplasty, functional endoscopic sinus surgery, concha bullosa excision or radiofrequency ablation of the inferior turbinates, depending on their obstruction-causing disease. Pre- and post-operative evaluation of perceived nasal obstruction was performed using the Nasal Obstruction Symptom Evaluation questionnaire. Pre- and post-operative assessment of sexual functions was performed using the International Index of Erectile Function.ResultsMean post-operative scores for erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction were significantly higher compared to the pre-operative scores (p = 0.022, p = 0.036, p = 0.033, p = 0.016 and p = 0.029, respectively).ConclusionSurgical treatment of nasal obstruction by septoplasty, endoscopic sinus surgery, concha bullosa excision or radiofrequency can significantly improve sexual performance.

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Tuberculosis of Sphenoid Sinus: Report of Two Cases

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1712053 ◽

2020 ◽

Vol 10 (01) ◽

pp. 42-45

Author(s):

Vadisha Srinivas Bhat ◽

Samatha K. J. ◽

Devika T. ◽

Shrinath D. Kamath P. ◽

Rajeshwary Aroor ◽

...

Keyword(s):

Endoscopic Sinus Surgery ◽

Sphenoid Sinus ◽

Histopathological Examination ◽

Clinical Findings ◽

Sinus Surgery ◽

Definite Diagnosis ◽

Radiological Appearance ◽

Antituberculosis Treatment

AbstractIsolated lesions of the sphenoid sinus are uncommon and difficult to diagnose. In the absence of characteristic clinical findings, the diagnosis of such lesions depends mainly on imaging. However, as radiological appearance cannot provide the clinician with a definite diagnosis, histopathological examination of the specimen is mandatory for the diagnosis. Endoscopic sinus surgery has been an excellent approach for diagnosis as well as treatment of isolated sphenoid sinus lesions. The disease can be effectively treated by antituberculosis treatment. We report two cases of tuberculosis involving the sphenoid sinus only.

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Sphenoid sinus mucocele: late complication of Sphenoidotomy

The Journal of Laryngology & Otology ◽

10.1258/002221503322113021 ◽

2003 ◽

Vol 117 (7) ◽

pp. 561-563 ◽

Cited By ~ 5

Author(s):

Anastasios G. Hantzakos ◽

Andrew L. Dowley ◽

Matthew W. Yung

Keyword(s):

Endoscopic Sinus Surgery ◽

Sphenoid Sinus ◽

Nerve Palsy ◽

Late Complication ◽

Oculomotor Nerve ◽

Sinus Surgery ◽

Oculomotor Nerve Palsy ◽

Potential Complication ◽

Endoscopic Decompression

Sphenoid sinus mucocele is an infrequent but well-recognized entity in sinus pathology. The symptoms produced by it are related to the anatomical surroundings of the sphenoid sinus. We describe a case of sphenoid sinus mucocele presenting with ipsilateral oculomotor nerve palsy 10 years after endoscopic sphenoidotomy. The patient underwent emergency endoscopic decompression of the sphenoid sinus with marsupialization of the mucocele, resulting in immediate remission of his symptoms. We conclude that the otorhinolaryngologist should be aware of such a potential complication when counselling the patient prior to endoscopic sinus surgery.

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Examining the Safety of Nasogastric Tube Placement after Endoscopic Sinus Surgery

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949810700806 ◽

1998 ◽

Vol 107 (8) ◽

pp. 662-664 ◽

Cited By ~ 13

Author(s):

Neil Bhattacharyya ◽

Harsha V. Gopal

Keyword(s):

Nasogastric Tube ◽

Endoscopic Sinus Surgery ◽

Sphenoid Sinus ◽

Middle Turbinate ◽

Sinus Surgery ◽

Tube Placement ◽

Nasogastric Intubation ◽

Nasogastric Tubes ◽

Fresh Cadaver ◽

Nasogastric Tube Placement

Several cases of intracranial injury during the placement of nasogastric tubes have been reported, usually in the setting of anterior skull base fractures. The fovea ethmoidalis and sphenoid sinus are often exposed after endoscopic sinus surgery, so that these structures are potentially placed in the line of contact during nasogastric tube placement. In order to evaluate the ability of the fovea ethmoidalis and roof of the sphenoid sinus to withstand penetration from possible contact during nasogastric tube placement, 12 fresh cadaver heads were studied. After complete endoscopic ethmoidectomy and wide sphenoidotomy, standard 18F and 16F nasogastric tubes were inserted to produce deliberate direct contact with both the fovea ethmoidalis and the sphenoid sinus roof. No penetrations of the fovea occurred in 20 specimen sides with the 18F tube; penetration did occur with the 16F tube in 1 of 13 sides (7.7%). With respect to the sphenoid sinus, no intracranial penetrations occurred in 16 and 11 sides for the 18F and 16F tubes, respectively. The sphenoid sinus was easily entered even in the presence of an intact middle turbinate. These data suggest that although intracranial penetration during nasogastric intubation after endoscopic sinus surgery is an unlikely event, there is a non-negligible risk of such injury. Nasogastric intubation should be performed with caution in patients with a history of sinus surgery.

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