Extensive sphenoethmoid mucocele--an endoscopic management.
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.
Prasad
Kishore Chandra
KC
Department of Otolaryngology-Head & Neck Surgery, Kasturba Medical College, Mangalore, Karnataka State, India. kishorecprasad@yahoo.com
Alva
Bhasker
B
Prasad
Sampath Chandra
SC
Shenoy
Vijendra
V
D000328:Adult; D004724:Endoscopy / Q000379:methods*; D005005:Ethmoid Sinus / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D009078:Mucocele / Q000150:complications / Q000473:pathology / Q000601:surgery*; D015508:Nasal Obstruction / Q000209:etiology / Q000601:surgery; D009666:Nose / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000601:surgery*; D019291:Skull Base / Q000473:pathology / Q000601:surgery; D013101:Sphenoid Sinus / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery