Nasoendoscopic treatment of the sphenoid sinus mucoceles

Abstract

Introduction: Mucoceles is a slow growth benign lesion, composed of mucous or purulent material, may be multiple and cause osseous erosion. The sphenoid sinus mucoceles are uncommon and correspond to 1% of the cases; they are more frequent in the frontal and ethmoidal sinuses respectively. Objective: To report one case of sphenoid sinus mucoceles that occurred with neurological symptoms and was submitted to surgical treatment through nasal endoscopy. Case Report: 80-year-old female patient with a record of ocular pain, diplopia and progressive decrease of the visual accuracy, which evolved with bilateral amaurosis two months after. In the cranium CT and MR we confirmed an expansive mass of sphenoid sinus, suggesting mucoceles. The patient was submitted to nasoendoscopic surgery with opening and widening of the ostium in the sphenoid sinus. Final Comments: The pathologies that affect the sphenoid sinus represent a great importance due to the noble structures that surrounds it. The nasal endoscopic surgery is an excellent approach for the treatment of mucoceles.

Keywords

• Sphenoid sinus
• Mucoceles
• Amaurosis