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Caballero García J, Giol Álvarez AM, Morales Pérez I, et al. Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations. Case Rep Otolaryngol. 2017;2017:7567838doi: 10.1155/2017/7567838.
Caballero García, J., Giol Álvarez, A. M., Morales Pérez, I., Gonzales Gonzales, N., Hidalgo Gonzáles, A., & Cruz Perez, P. O. (2017). Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations. Case reports in otolaryngology, 20177567838. https://doi.org/10.1155/2017/7567838
Caballero García, Joel, et al. "Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations." Case reports in otolaryngology vol. 2017 (2017): 7567838. doi: https://doi.org/10.1155/2017/7567838
Caballero García J, Giol Álvarez AM, Morales Pérez I, Gonzales Gonzales N, Hidalgo Gonzáles A, Cruz Perez PO. Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations. Case Rep Otolaryngol. 2017;2017:7567838. doi: 10.1155/2017/7567838. Epub 2017 Aug 07. PMID: 28848683; PMCID: PMC5564091.
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Case Rep Otolaryngol. 2017;2017:7567838. doi: 10.1155/2017/7567838. Epub 2017 Aug 07.

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

Case reports in otolaryngology

Joel Caballero García, Adolfo Michel Giol Álvarez, Iosmill Morales Pérez, Nélido Gonzales Gonzales, Adolfo Hidalgo Gonzáles, Peggys Oleidis Cruz Perez

Affiliations

  1. National Institute of Oncology and Radiobiology, Head and Neck Department, Havana, Cuba.
  2. Hnos Ameijeiras Hospital, Havana, Cuba.

PMID: 28848683 PMCID: PMC5564091 DOI: 10.1155/2017/7567838

Abstract

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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