Presentation
While presenting this case, we briefly review the literature on the subject of sphenoid sinus mucoceles. [ncbi.nlm.nih.gov]
Full Text Introduction Although headache is a well-known presenting symptom of isolated sphenoid sinus disease,1 it usually delays its diagnosis, since sinonasal symptoms are lacking; thus, these patients initially present to neurologists and neurosurgeons [bjorl.org]
The mucocele of sphenoid sinus present no symptoms in the early stage. In the late stage, it usually has varied presentations mostly related to the direction of extension towards neighboring structures. [clinicsinsurgery.com]
Entire Body System
- Swelling
MRI and CT scans showed mucocele in the left sphenoid sinus, and left optic nerve swelling with high intensity was observed in T2-weighted MRI. No destruction of the optic canal was found. [ncbi.nlm.nih.gov]
Sinus inflammation- a common problem in respiratory observe is called an inflammation or swelling in the mucous membrane of sinuses. [farsimusic.net]
Four patients (22%) presented with the complaint of eye swelling, three patients had nasal congestion (16%), and three patients had facial swelling (16%). [docksci.com]
The lesion slowly expands in the sinus cavity resulting in swelling, pressure symptoms and bony necrosis. [intechopen.com]
The mucocele can also be known as a collection of fluids or extravasation phenomenon and can occur when the swelling of the connective tissue due to irritation, inflammation or unknown causes results in mucin (protein that can be found in an individual [sinus-pro.com]
- Surgical Procedure
The management section has been fully updated to incorporate new medical modalities and surgical procedures. [books.google.com]
Rhinologic surgeons should consider the endoscopic technique as the surgical procedure of choice for management of paranasal sinus mucoceles. [ispub.com]
In about 60% of the cases, the mucoceles are secondary to surgical procedures in the facial sinuses, in 35% of the cases they are primary and 2% are traumatic. [arquivosdeorl.org.br]
Mucoceles are treated surgically. The location, magnitude, and expansion of the lesion are determinants of the appropriate surgical procedure [8]. [docksci.com]
- Soft Tissue Mass
Cranium computed tomography (CT) scan was then performed and images revealed soft tissue masses in nasal sinuses. He was then referred to our clinic. [clinicsinsurgery.com]
Nasal endoscopy revealed the medial displacement of the middle turbinate by a soft tissue mass proturding from the osteomeatal complex(Figure 1). [ispub.com]
The CT appearance of a soft tissue mass can be similar to mucocele. Sinusitis does not expand the sinus cavity. Surrounding bony sclerosis suggests infection. Calcifications may be present with superimposed fungal infections. [neuroradiologyonthenet.blogspot.com]
MRI can discern secretions and mucosa from masses. When you understand the signal characteristics, you are readily able to distinguish soft tissues masses from inspissated secretions. [radiologyassistant.nl]
- Weakness
At 1-year follow-up he continues to do well with minimal residual third nerve weakness. [academic.oup.com]
- Turkish
[…] of Turkish conflict of laws. [turkiyeklinikleri.com]
Jaw & Teeth
- Dental Caries
المحتويات Physics of Radiation 12 Principle of Projection 89 Image Characteristics 104 Processing of Film and Image Formation 113 Infection Control in Dental Radiology 125 Patient Management in Dental Radiology 132 RADIOGRAPHIC INTERPRETATION 192 Principle [books.google.com]
Musculoskeletal
- Fracture
With this as basis, two kinds of integrated models are presented which can be implemented in a finite-element code and used in ductile fracture simulations, in particular for metal forming processes. [authormapper.com]
There have been more reports on osteomyelitis than in former years, and the subject of fractures involving the sinuses is thoroughly discussed in several interesting articles. [jamanetwork.com]
21 Water view Best for maxillary sinuses and orbital rims Blow-out fractures 22 Caldwell view Best for frontal sinus 23 Lateral view Best for sphenoid sinus and frontal sinus 24 Submental vertex (basal) view Zygomatic archs Sphenoid sinus Lateral walls [slideplayer.com]
Som, P, Brandwein, M: Sinonasal cavities: inflammatory diseases, tumors, fractures and postoperative findings. In: Som, P, Curtin, HD (eds): Head and neck imaging. Mosby, St Louis 1996 : 126 – 349. Google Scholar 29. [journals.sagepub.com]
Eyes
- Visual Impairment
A mucocele of the sphenoid sinus with visual impairment and headache is presented. Mucocele of the sphenoid sinus is relatively rare. The preoperative diagnosis was uncertain in this case but sphenoid sinus mucocele was considered. [ncbi.nlm.nih.gov]
Visual impairment slowly and progressively increased in the last six months. There are two mechanisms that explain the visual impairment in sphenoid sinus mucocele. [waent.org]
He also had a chronic problem of visual impairment. His vision gradually improved after endoscope endonasal sphenoidotomy and drainage of the sinus content which resolved all his symptoms. [eastjmed.org]
Face, Head & Neck
- Facial Numbness
A 59-year-old male came to our clinic complaining of severe headache, right-side facial numbness (in the areas of the first and second branches of the trigeminal nerve), diplopia, and right blepharoptosis. [ncbi.nlm.nih.gov]
The patient was a 63-year-old man who complained of right visual disorder and facial numbness for approximately 3 years prior to his admission. There was no history of nose surgery or trauma. [jstage.jst.go.jp]
Her visual acuity was normal with no diplopia, proptosis or facial numbness. Field of vision by confrontation method did not reveal any field defects. There was no evidence of neck stiffness. [tandfonline.com]
His visual acuity was normal with no obviously diplopia, proptosis, facial numbness nor headache. The patients firstly sought medical advice in neurology clinics. Examination revealed uncontrolled hypertension and diabetes. [clinicsinsurgery.com]
Facial numbness could be a presenting feature in involvement of first and second branches of the trigeminal nerve. [elynsgroup.com]
- Epistaxis
The patients usually present with epistaxis and nasal obstruction with reddish submucosal nasal mass (Fig 11). Figure 11. [intechopen.com]
The most common symptoms of paranasal sinus cancers include: Nasal: A persistently blocked nose or bleeding per nose (epistaxis) Oral: loose teeth or dentures, bleeding from upper teeth sockets, swelling in the roof of the mouth, oral pain, or trismus [skullbaseinstitute.com]
It causes non-specific symptoms like nasal congestion or epistaxis. Biopsy is necessary to make the diagnosis and because more than 10% of inverted papillomas harbor a squamous cell carcinoma. [radiologyassistant.nl]
- Frontal Bossing
Classic mucoceles are non-infected and present with complaints resulting from the mass effects such as proptosis, frontal bossing, inability to breathe through the nose, orbital mass (frontal or ethmoidal), medial gaze abnormality (ethmoid), or a change [neuroradiologyonthenet.blogspot.com]
Neurologic
- Headache
[…] to assess the headache. [bjorl.org]
Headache was the most frequent symptom in 9 of the 12 patients. Visual disorders were noted in five patients. [ncbi.nlm.nih.gov]
[…] the pathophysiology of such headaches. [scielo.br]
- Seizure
Brain abscess Brain abscess (2) On the left images of another patient, who had recently been treated for sinusitis and now presented with a seizure. [radiologyassistant.nl]
Workup
Systemic workup for myeloma was negative. Patient underwent radiotherapy, and MRI performed 1 year later showed no recurrence A 41-year-old male had headache and blurring of vision for 1 year, which increased in last 10 days. [ruralneuropractice.com]
X-Ray
- Sinus Opacification
Sphenoid Sinus Mucocele Fig. 1: Axial unenhanced CT image shows opacification of the left sphenoid sinus due to a mass (arrow) causing slight expansion of the sinus. Some parts of the sinus wall are thin and some are thick. [radiologyinthai.blogspot.com]
[…] radiographs: Sinus opacifications Air-fluid level Mass Fractures 21 Water view Best for maxillary sinuses and orbital rims Blow-out fractures 22 Caldwell view Best for frontal sinus 23 Lateral view Best for sphenoid sinus and frontal sinus 24 Submental [slideplayer.com]
Colonoscopy
- Polyps
A healthy young woman with a history of prior surgical excision of nasal polyps presented with a headache and evolving neurologic symptoms. [ncbi.nlm.nih.gov]
Results: A healthy young woman with a history of prior surgical excision of nasal polyps presented with a headache and evolving neurologic symptoms. [cambridge.org]
(a) Nasal polyps derived from the right middle meatus of the right nasal cavity (b) Nasal polyps occupied the right olfactory cleft with no obvious ostium of the right sphenoid sinus (c) Nasal polyps derived from the left middle meatus and the left middle [clinicsinsurgery.com]
J33.0 Polyp of nasal cavity J33.1 Polypoid sinus degeneration J33.8 Other polyp of sinus J33.9 Nasal polyp, unspecified J34 Other and unspecified disorders of nose and nasal sinuses J34.0 Abscess, furuncle and carbuncle of nose J34.1 Cyst and mucocele [icd10data.com]
Rhinoscopic examination showed a polypous mass enpacked in the ipsilateral middle nasal meatus. [jstage.jst.go.jp]
Treatment
Surgical treatment is absolutely indicated and early treatment avoids visual damage that can be permanent. [hindawi.com]
Endoscopic sinus surgery is a safe and effective treatment modality. [ncbi.nlm.nih.gov]
Prognosis
It is a benign cystic lesion with an excellent prognosis when treated appropriately. [ncbi.nlm.nih.gov]
A delay in surgery of more than seven to ten days after the onset of visual dysfunction is often associated with poor visual prognosis. [irispublishers.com]
Treatment and prognosis Surgical options include endoscopic transnasal sphenoidotomy with sufficient removal of the anterior and inferior walls of the sinus. This can facilitate adequate drainage. [radiopaedia.org]
Clinical presentation, aetiology and prognosis of orbital apex syndrome. Orbit. 2013;32(2):91-4. DOI: 10.3109/01676830.2013.764439. Gupta AK, Menon V, Sharma P, Saxena R, Kumaran S. [journals.sbmu.ac.ir]
Etiology
The rareness of paranasal sinus mucocele in children especially sphenoid occurrence prompted the authors to discuss the etiology, radiological imaging findings and the role of endoscopic endonasal sphenoidotomy. [eastjmed.org]
In the etiology of the mucocele, other than the inflammatory processes including sinusitis or nasal polyposis, the iatrogenic causes such as endoscopic sinus surgery are also present. [entokey.com]
Etiology, clinical manifestations and treatment of the sphenoid mucoceles is discussed and available literature is reviewed. [annalsofian.org]
Friedman A, Batra PS, Fakhri S, et al (2005) Isolated sphenoid sinus disease: etiology and management. Otolaryngol Head Neck Surg 133:544–550 PubMed CrossRef Google Scholar 5. [link.springer.com]
Isolated sphenoid sinus mucocele: etiology and management. J Craniofac Surg, 19 (2008), pp. 1381-1384 [4] B. Bauer, S. Evers, H.W. Lindörfer, G. Schuierer, H. Henningsen, I.W. Husstedt. [bjorl.org]
Pathophysiology
[…] the sphenoid sinus is the least common site of the paranasal sinuses, representing 1–2%.2 The authors report a case of isolated sphenoid sinus mucocele that only presented with headache for over six months, and also review the literature regarding the pathophysiology [bjorl.org]
[…] the sphenoid sinus is the least common site of the paranasal sinuses, representing 1-2%.2 The authors report a case of isolated sphenoid sinus mucocele that only presented with headache for over six months, and also review the literature regarding the pathophysiology [scielo.br]
[…] orbit 25 Computed tomography Excellent views of the sinuses Coronal section Best for osteomeatal complex and ethmoidal disease 26 MRI Excellent soft tissue definition Neoplastic disease evaluation Fails to demonstrate bone Expensive Claustra- phobia 27 Pathophysiology [slideplayer.com]
Prevention
At the time of surgery, prevention would require either endoscopic control of the mucosal remnants, in case of sinus exclusion, or leaving the sphenoid sinus air-filled under a sealed sella. [ncbi.nlm.nih.gov]
Because of the close proximity with vital structures, early diagnosis and treatment of the disease is essential to prevent morbidity. [waent.org]
Key words: Sphenoid mucocele, Aspergillus fumigatus, Aspergillosis Advertisement American Journal of Preventive Medicine and Public Health SUBMIT YOUR ARTICLE NOW [scopemed.org]
Early and correct diagnosis of this relatively benign condition is important to prevent permanent neurological deficits, including visual loss by optic nerve atrophy. [annalsofian.org]