Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele

Introduction Isolated Sphenoid Sinusitis and sinus lesions is a rare entity accounting for just 1-3% of all Sinus afflictions. Most have occurred in men between the ages of 30 and 40 years. Case Report A case of right sphenoid sinus mucocele is reported in a male patient aged 68 years, with size...

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Main Authors: Tushar Kanti Ghosh, Srijoy Gupta, Pradeep Devineni
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2018-12-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal/index.php/bjohns/article/view/399
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author Tushar Kanti Ghosh
Srijoy Gupta
Pradeep Devineni
author_facet Tushar Kanti Ghosh
Srijoy Gupta
Pradeep Devineni
author_sort Tushar Kanti Ghosh
collection DOAJ
description Introduction Isolated Sphenoid Sinusitis and sinus lesions is a rare entity accounting for just 1-3% of all Sinus afflictions. Most have occurred in men between the ages of 30 and 40 years. Case Report A case of right sphenoid sinus mucocele is reported in a male patient aged 68 years, with size of the lesion (35 x 34 mm) detected by CT & MRI scans. The patient presented with a 3 weeks history of unilateral ptosis, diplopia, and photophobia. He also complained of bilateral nasal obstruction, nasal stuffiness, and a mucoid nasal discharge. Endoscopic decompression of the right sphenoid sinus was performed, and approximately 160 ml of thick, sterile mucoid secretion was aspirated. Despite the size of the mucocele, no significant destruction of the sphenoid walls was evident. Postoperatively within 15 days the patient's symptoms improved significantly. Conclusion The Nasal Endoscope has revolutionised sphenoid sinus mucocele treatment. An adequate sphenoidotomy and drainage give excellent results.
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spelling doaj.art-f74ebe58ccf54187ab727450a9a3a8112024-04-03T04:33:26ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072395-24072018-12-01263234237186Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal MucocoeleTushar Kanti Ghosh0Srijoy Gupta1Pradeep Devineni2Ghosh ENT Foundation FE 350, Saltlake Sector 3, Near Tank No 12 and GD Market, Saltlake city, Kolkata 700106.Ghosh ENT Foundation, Saltlake, Kolkata Ph No.+919073464039Ghosh ENT Foundation, Saltlake, KolkataIntroduction Isolated Sphenoid Sinusitis and sinus lesions is a rare entity accounting for just 1-3% of all Sinus afflictions. Most have occurred in men between the ages of 30 and 40 years. Case Report A case of right sphenoid sinus mucocele is reported in a male patient aged 68 years, with size of the lesion (35 x 34 mm) detected by CT & MRI scans. The patient presented with a 3 weeks history of unilateral ptosis, diplopia, and photophobia. He also complained of bilateral nasal obstruction, nasal stuffiness, and a mucoid nasal discharge. Endoscopic decompression of the right sphenoid sinus was performed, and approximately 160 ml of thick, sterile mucoid secretion was aspirated. Despite the size of the mucocele, no significant destruction of the sphenoid walls was evident. Postoperatively within 15 days the patient's symptoms improved significantly. Conclusion The Nasal Endoscope has revolutionised sphenoid sinus mucocele treatment. An adequate sphenoidotomy and drainage give excellent results.https://bjohns.in/journal/index.php/bjohns/article/view/399MucoceleSphenoid SinusOphthalmoplegia
spellingShingle Tushar Kanti Ghosh
Srijoy Gupta
Pradeep Devineni
Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele
Bengal Journal of Otolaryngology and Head Neck Surgery
Mucocele
Sphenoid Sinus
Ophthalmoplegia
title Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele
title_full Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele
title_fullStr Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele
title_full_unstemmed Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele
title_short Isolated Sphenoid Sinus Disease- A Unique Case of Sphenoidal Mucocoele
title_sort isolated sphenoid sinus disease a unique case of sphenoidal mucocoele
topic Mucocele
Sphenoid Sinus
Ophthalmoplegia
url https://bjohns.in/journal/index.php/bjohns/article/view/399
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