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.
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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)
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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)
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