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
- Recurrent Sinusitis
Foreign body Nasal polyps Chronic sinusitis 33 Sinusitis Acute sinusitis - acute - subacute - recurrent acute Chronic sinusitis - recurrent with acute exacerbations Fungal sinusitis - acute invasive (fulminant) - chronic indolent - Mycetoma (fungus ball [slideplayer.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]
- Blepharoptosis
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]
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]
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]
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. 2008 Sep;19(5):1381. 5. Lund VJ. Fronto-ethmoidal mucoceles: a histopathological sinuses. J Laryngol Otol 1991;105:921-923. 6. [revistas.fucsalud.edu.co]
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]