Extensive sphenoethmoid mucocele--an endoscopic management.

Abstract

Sphenoethmoidal mucoceles are rare tumors. They gradually expand in size and rarely produce bony destruction of sinus walls, leading to orbital, ocular, and intracranial involvement. We present a rare case of sphenoethmoidal mucocele with bone destruction and intracranial extension, who presented with nasal blockade and loss of visual acuity. Computed tomographic scan revealed a soft tissue mass, eroding the base of anterior cranial fossa, extending intracranially into the parasellar temporal fossa. The patient was treated successfully by endoscopic excision. Although a transfacial approach is generally preferred in cases of extensive mucoceles with intracranial extensions, a thorough anatomy of the nasal skull base and proficient use of the endoscope can be a good alternative to such lesions.

• Authors: Kishore Chandra Prasad, Bhasker Alva, Sampath Chandra Prasad, Vijendra Shenoy
• Journal: The Journal of craniofacial surgery (J Craniofac Surg) Vol. 19 Issue 3 Pg. 766-71 (May 2008) ISSN: 1049-2275 [Print] United States
• PMID: 18520396 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Endoscopy (methods)
• Ethmoid Sinus (pathology, surgery)
• Humans
• Male
• Mucocele (complications, pathology, surgery)
• Nasal Obstruction (etiology, surgery)
• Nose (surgery)
• Paranasal Sinus Diseases (surgery)
• Skull Base (pathology, surgery)
• Sphenoid Sinus (pathology, surgery)
• Tomography, X-Ray Computed
• Vision Disorders (etiology, surgery)