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Swain S. Scuba Diver Presenting with a Giant Sphenoid Sinus Mucocele. JOURNAL OF MARINE MEDICAL SOCIETY 2022. [DOI: 10.4103/jmms.jmms_32_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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2
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Fieux M, Zaouche S, Pialat JB, Tringali S. Giant Sphenoidal Mucocele Revealed by Orbital Pain. Ann Neurol 2020; 89:619-620. [PMID: 33274498 DOI: 10.1002/ana.25984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 12/01/2020] [Accepted: 12/01/2020] [Indexed: 11/07/2022]
Affiliation(s)
- Maxime Fieux
- Department of Otology, Oto-Neurosurgery, Head and Neck Surgery, Lyon Sud University Hospital, Lyon, France
| | - Sandra Zaouche
- Department of Otology, Oto-Neurosurgery, Head and Neck Surgery, Lyon Sud University Hospital, Lyon, France
| | - Jean-Baptiste Pialat
- Department of Medical Imaging, Lyon Sud University Hospital, Claude Bernard Lyon 1 University, Lyon, France
| | - Stephane Tringali
- Department of Otology, Oto-Neurosurgery, Head and Neck Surgery, Lyon Sud University Hospital, Lyon, France
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Janakiram TN, Karunasagar A. Sphenoid Mucocele: A Complication of Skull Base Reconstruction with Nasoseptal Flap-A Critical Review and Our Experience. Indian J Otolaryngol Head Neck Surg 2019; 71:2151-2156. [PMID: 31763313 DOI: 10.1007/s12070-019-01713-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Accepted: 07/11/2019] [Indexed: 11/26/2022] Open
Abstract
The evolution of expanded endoscopic skull base surgery has enabled development of minimally invasive approaches for resection of large skull base tumors with the nasoseptal flap proving to be an indispensable tool in skull base reconstruction. We here present our experience of sphenoid mucocele development after skull base reconstruction with the nasoseptal flap along with a comprehensive review of the limited literature on the same. With the expanding scope of endoscopic skull base surgery, the nasoseptal flap is increasingly being used for reconstruction. Despite adherence to standard recommendations and use of meticulous technique during flap placement, the potential risk of mucocele formation under the flap should always be borne in mind. In our experience, displacement of the flap pedicle could lead to ostial obstruction and mucocele formation. Hence, in addition to meticulous technique, a close follow up of such patients via nasal endoscopy or imaging is important to further our knowledge and understanding of the long-term effects and complications of this flap.
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Affiliation(s)
- T N Janakiram
- Department of Otorhinolaryngology and Skull Base Surgery, Royal Pearl Hospital, Tiruchchirappalli, Tamil Nadu India
| | - Abhilasha Karunasagar
- 2Department of Otorhinolaryngology and Head and Neck Surgery, Sri Devaraj Urs Medical College, Kolar, Karnataka India
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Djambazov KB, Kitov BD, Zhelyazkov CB, Davarski AN, Topalova AR. Mucocele of the Sphenoid Sinus. Folia Med (Plovdiv) 2019; 59:481-485. [PMID: 29341940 DOI: 10.1515/folmed-2017-0049] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Accepted: 03/31/2017] [Indexed: 11/15/2022] Open
Abstract
Mucocele of the paranasal sinuses is a rare disease with slow evolution. It is a benign, encapsulated and destructive formation filled with mucous fluid and tapistrated with respiratory epithelium. Of all the paranasal sinuses, the sphenoid sinus is affected in only 1-7% of the cases. We present two cases of mucocele of the sphenoid sinus involving the posterior ethmoidal cells. We consider here their clinical presentation, use of neuroimaging in the diagnosis, surgical care and postoperative results. Both patients presented with a history of persistent headache and in addition, one of them had a paresis of the right oculomotor and abducens nerves. A transnasal endoscopic sphenoidectomy was performed in both patients, in one - with an evacuation of the mucocele and marsupialization, and in the other - with a balloon dilatation of the natural foramen of the sinus. Postoperatively, a complete reversal of the symptoms was observed in both patients. Mucocele of the paranasal sinuses should be considered as a diagnosis in cases of persistent headache with a primarily retrobulbar location and eye symptoms. Computed tomography and magnetic resonance imaging can be used to successfully diagnose the disease. The transnasal endoscopic sphenoidectomy is the therapeutic method of choice which allows evacuation of the mucocele, while the marsupialization allows good drainage and prevents recurrence.
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Affiliation(s)
- Karen B Djambazov
- 1Department of Ear, Nose and Throat Diseases, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Borislav D Kitov
- 2Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Christo B Zhelyazkov
- 2Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Atanas N Davarski
- 2Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
| | - Alexandrina R Topalova
- 1Department of Ear, Nose and Throat Diseases, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria
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Brunet-Garcia A, Costa-Climent MD, Pujol-Rodríguez M, Brunet-Garcia L, Faubel-Serra M. Sphenoid sinus mucocele: an unusual complication of head and neck irradiation in a North African woman. J Clin Exp Dent 2019; 11:e208-e212. [PMID: 30805127 PMCID: PMC6383900 DOI: 10.4317/jced.55161] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Accepted: 12/17/2018] [Indexed: 11/05/2022] Open
Abstract
Mucocele is a common benign lesion otherwise rarely located in the sphenoid sinus. Some complications after head and neck irradiation have been described in the literature until now. To our knowledge, this is the first report of a sphenoid sinus mucocele in a North African patient treated some years before with radiotherapy for a nasopharyngeal carcinoma (NPC). We extend the literature review about this infrequent finding, of which head and neck surgeons should be aware. Key words:Mucocele, sphenoid sinus mucocele, nasopharyngeal carcinoma, radiotherapy, North African.
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Affiliation(s)
- Aina Brunet-Garcia
- MD, Department of Otorhinolaryngology, Hospital Universitar Parc Taulí. Sabadell, Barcelona. Universitat Autònoma de Barcelona. Universitat de València. Spain
| | - Mª Dolores Costa-Climent
- MD, Department of Otorhinolaryngology, Hospital General Universitari de Castelló. Castelló de la Plana, Castelló, Spain
| | - Maria Pujol-Rodríguez
- MD, Department of Otorhinolaryngology, Hospital Universitari Vall d'Hebron. Barcelona. Spain
| | - Laia Brunet-Garcia
- MD, Department of Paediatric Cardiology, Hospital de Mataró. Department of Pediatrics, Hospital Sant Joan de Déu, Barcelona. Universitat de Barcelona. Spain
| | - Marta Faubel-Serra
- MD, PhD. Head of Otorhinolaryngology department, Hospital General Universitari de Castelló. Castelló de la Plana, Castelló, Spain
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Abstract
Chronic sphenoid rhinosinusitis is a spectrum of inflammatory diseases in isolated sphenoid sinus which may persist over a period of 12 weeks. It is a different entity from other types of rhinosinusitis because clinical presentations include headache, visual loss or diplopia, and patients may or may not have nasal obstruction or nasal discharge. Nasal endoscopic examination is useful, and computed tomography is mandatory. The disease requires comprehensive knowledge and appropriate imaging technique for diagnosis. To treat patients with chronic sphenoid rhinosinusitis, surgical treatment with endoscopic transnasal sphenoidotomy is often required. As there are no recent updated reviews of chronic sphenoid rhinosinusitis, in this article, we review the anatomy of the sphenoid sinus and its clinical relationship with the clinical signs and symptoms of the disease, the imaging findings of each diagnosis and the comprehensive surgical techniques.
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Affiliation(s)
- Natamon Charakorn
- Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
| | - Kornkiat Snidvongs
- Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand
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Devi S, Ganger A, Sharma S, Saxena R. Sphenoid mucocele with unusual panhypopituitarism. BMJ Case Rep 2016; 2016:bcr-2015-214218. [PMID: 27048396 DOI: 10.1136/bcr-2015-214218] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
A 13-year-old boy presented with bilateral progressive proptosis, abduction deficit, optic atrophy and features suggestive of hypopituitarism secondary to a sphenoid sinus mucocele. Drainage of the mucocele along with hormone replacement therapy resulted in improvement in visual acuity and abduction.
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Affiliation(s)
- Saranya Devi
- Dr R P Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Anita Ganger
- All India Institute of Medical Sciences, R P Centre for Ophthalmic Sciences, New Delhi, India
| | - Sanjay Sharma
- Department of Radiology, Dr R P Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
| | - Rohit Saxena
- Dr R P Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
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Ungari C, Riccardi E, Reale G, Agrillo A, Rinna C, Mitro V, Filiaci F. Management and treatment of sinonasal inverted papilloma. ANNALI DI STOMATOLOGIA 2016; 6:87-90. [PMID: 26941894 DOI: 10.11138/ads/2015.6.3.087] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
AIMS The aim of this paper is to describe the surgical experience of 35 patients with Inverted Papilloma (IP) of paranasal sinuses and its recurrence rate after a year of follow-up. MATERIALS A retrospective chart review was performed on patients presenting with IP of paranasal sinuses. Thirty-five patients comprised the focus of this study. For all patients was performed a pre-surgery TC, and for more 5 patients it was necessary to perform a Magnetic Resonance (MR) with gadolinium. RESULTS Among 35 patients selected, 18 patients underwent to open surgery, 4 patients had a combined approach with endoscopy and open surgery, while 13 patients were managed only with an endoscopic approach, with a minimum of 1 year of follow-up. Our results highlighted that the global percentage of success 12 months after the treatment was 93% and it not vary according to the tipology of the approach used if a radical excision of the lesion is achieved. More in depth, among 35 cases, only 2 patients were found to have recurrences and were treated with coronal and endoscopic approach. CONCLUSION It is fundamental to underline that surgery must be carried on in a radical manner to treat these tend to recur. A complete removal of the lesion and bone peripheral border filing are essential to perform a correct and definitive treatment. Also, endoscopic approach can be taken into account when tumors are localized median to a sagittal plan crossing the orbit median wall and when they did not massively compromised paranasal sinus walls.
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Affiliation(s)
- Claudio Ungari
- Department of Oral and Maxillo-Facial Sciences, "Sapienza" University of Rome, Italy
| | - Emiliano Riccardi
- Department of Maxillo-Facial Surgery, Policlinico Umberto I, "Sapienza" University of Rome, Italy
| | - Gabriele Reale
- Department of Maxillo-Facial Surgery, Policlinico Umberto I, "Sapienza" University of Rome, Italy
| | - Alessandro Agrillo
- Department of Oral and Maxillo-Facial Sciences, "Sapienza" University of Rome, Italy
| | - Claudio Rinna
- Department of Oral and Maxillo-Facial Sciences, "Sapienza" University of Rome, Italy
| | - Valeria Mitro
- Department of Maxillo-Facial Surgery, Policlinico Umberto I, "Sapienza" University of Rome, Italy
| | - Fabio Filiaci
- Department of Maxillo-Facial Surgery, Policlinico Umberto I, "Sapienza" University of Rome, Italy
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Saylam G, Bayır Ö, Girgin D, Arslan MS, Tatar EÇ, Özdek A, Delibaşı T, Korkmaz MH. Permanent central diabetes insipidus as a complication of sphenoid sinus mucocele. Am J Otolaryngol 2014; 35:658-60. [PMID: 24927661 DOI: 10.1016/j.amjoto.2014.05.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2014] [Revised: 05/02/2014] [Accepted: 05/05/2014] [Indexed: 10/25/2022]
Abstract
Although mucocele is a benign lesion, its unavoidable expansions may result in irreversible damages in adjacent organs. In spheno-ethmoid mucoceles which are extremely rare, this condition may cause more severe problems. Central diabetes insipidus, developed secondary to sphenoid sinus mucocele, was detected in a 54-year-old male patient, who underwent endoscopic sinus surgery 2 times due to nasal polyposis. Endoscopic sphenoid mucocele marsupialization was performed to the patient, but despite partial regression in the 1-year follow up, complete recovery was not observed.
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10
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Headache induced by the sphenoid sinus mucocele. Braz J Otorhinolaryngol 2014; 81:113-4. [PMID: 25382423 PMCID: PMC9452216 DOI: 10.1016/j.bjorl.2014.05.029] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2013] [Accepted: 02/23/2013] [Indexed: 12/04/2022] Open
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Villa A, De Angelis M, Piscevic I, Solari D, Cavallo LM, Cappabianca P. Sphenoid sinus mucocele caused by a completely thrombosed intracavernous carotid artery aneurysm: an unusual association. J Neurol Surg Rep 2014; 75:e108-12. [PMID: 25083367 PMCID: PMC4110156 DOI: 10.1055/s-0034-1373666] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2013] [Accepted: 02/20/2014] [Indexed: 11/29/2022] Open
Abstract
Background Mucocele is an inflammatory disease caused by the retention of mucoid secretions within a paranasal sinus. Although rare, the presence of a vascular lesion inside the sphenoid sinus could determine ostium obstruction, thus causing mucocele development. Clinical Presentation An 84-year-old woman was referred to our institution due to a lesion abutting into the sphenoid sinus; she was complaining of constrictive frontal headache, progressive worsening of visual acuity in the left eye; later, sudden homolateral ptosis and diplopia occurred. The radiologic evidence was consistent with the diagnosis of thrombosed aneurysm of the right intracavernous carotid artery, surrounded by sphenoidal mucocele. The patient underwent an endoscopic endonasal transsphenoidal approach exclusively for sphenoid mucocele drainage. Conclusion Although rare, the presence of a vascular lesion inside the sphenoid sinus has to be considered among the possible diagnostic hypotheses of masses abutting in this cavity; the association with mucocele is even more rare and, to date, has not been described.
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Affiliation(s)
- Alessandro Villa
- Division of Neurosurgery, Department of Neurosciences and Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
| | - Michelangelo De Angelis
- Division of Neurosurgery, Department of Neurosciences and Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
| | - Ivan Piscevic
- Clinical Centre of Serbia, Clinic of Neurosurgery, Belgrade, Serbia
| | - Domenico Solari
- Division of Neurosurgery, Department of Neurosciences and Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
| | - Luigi Maria Cavallo
- Division of Neurosurgery, Department of Neurosciences and Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
| | - Paolo Cappabianca
- Division of Neurosurgery, Department of Neurosciences and Reproductive and Odontostomatological Sciences, Università degli Studi di Napoli Federico II, Naples, Italy
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Bag AK, Chapman PR. Neuroimaging: Intrinsic Lesions of the Central Skull Base Region. Semin Ultrasound CT MR 2013; 34:412-35. [DOI: 10.1053/j.sult.2013.08.004] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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13
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Mowatt L, Foster T. Sphenoidal sinus mucocele presenting with acute visual loss in a scuba diver. BMJ Case Rep 2013; 2013:bcr-2013-010309. [PMID: 23964041 DOI: 10.1136/bcr-2013-010309] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
A 43-year-old male scuba diver presented with an acute history of painful unilateral visual loss after scuba diving. He had right-sided retrobulbar pain and headache. He was known to have sinusitis and had transient visual loss in two previous episodes after scuba diving. His visual acuity was hand motions and 20/20 in the right and left eye, respectively. There was no proptosis. He had a right relative afferent pupillary defect. Colour vision was normal in the left eye and absent in the right eye. Fundal examination revealed healthy discs and macula bilaterally. He was assessed as a right optic neuropathy, possibly secondary to compression. An MRI of the brain revealed a large sphenoidal mucocele extending into the right optic foramen. He was treated with oral steroids, antibiotics and nasal decongestants. He underwent endoscopic intranasal sphenoidectomy and marsupialisation with return of his visual acuity to 20/25 in that eye.
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Alami F, Benchekroun N, El Berdaoui N, Oumelal J, Berraho A. [Bilateral sphenoid sinus mucocele presenting as abducens nerve palsy: case report]. J Fr Ophtalmol 2013; 36:e87-91. [PMID: 23618728 DOI: 10.1016/j.jfo.2012.08.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2012] [Revised: 08/16/2012] [Accepted: 08/16/2012] [Indexed: 11/26/2022]
Abstract
Mucocele is a rare, benign, cystic tumor affecting primarily adults. It arises within the sphenoid sinus and invades the orbit through bony destruction. The most frequent locations are frontal and fronto-ethmoidal; sphenoidal forms are rarer, and bilaterality is exceptionally rare. Ophthalmological signs with the risk of blindness required emergency treatment. The authors report a case of bilateral sphenoid mucocele presenting as an isolated abducens nerve palsy, the etiological investigation confirmed the diagnosis of sphenoid mucocele, and the treatment consisted of a surgical marsupialization through an endonasal endoscopic approach.
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Affiliation(s)
- F Alami
- Service d'ophtalmologie B, hôpital des Spécialités, CHU Rabat, BP 6437, Rabat, Maroc.
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Hopf-Jensen S, Rubarth O, von D Ahe I, Riis P, Preuss H, Preiss M, Börm W, Müller-Hülsbeck S. Isolated oculomotor nerve palsy caused by a mucocele of an aerated anterior clinoid process. Clin Neuroradiol 2013; 24:161-4. [PMID: 23529563 DOI: 10.1007/s00062-013-0211-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2012] [Accepted: 01/30/2013] [Indexed: 11/30/2022]
Affiliation(s)
- S Hopf-Jensen
- Department of Diagnostics and Interventional Radiology/Neuroradiology, Diakonissen Hospital Flensburg, Knuthstraße 1, 24939, Flensburg, Germany,
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Thurtell MJ, Chiu ALS, Goold LA, Akdal G, Crompton JL, Ahmed R, Madge SN, Selva D, Francis I, Ghabrial R, Ananda A, Gibson J, Chan R, Thompson EO, Rodriguez M, McCluskey PJ, Halmagyi GM. Neuro-ophthalmology of invasive fungal sinusitis: 14 consecutive patients and a review of the literature. Clin Exp Ophthalmol 2013; 41:567-76. [PMID: 23279383 DOI: 10.1111/ceo.12055] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2012] [Accepted: 12/04/2012] [Indexed: 11/29/2022]
Abstract
BACKGROUND Invasive fungal sinusitis is a rare condition that usually occurs in immunocompromised patients and often presents as an orbital apex syndrome. It is frequently misdiagnosed on presentation and is almost always lethal without early treatment. DESIGN Retrospective case series of 14 consecutive patients with biopsy-proven invasive fungal sinusitis from four tertiary hospitals. PARTICIPANTS Fourteen patients (10 men and 4 women; age range 46-82 years). METHODS Retrospective chart review of all patients presenting with invasive fungal sinusitis between 1994 and 2010 at each hospital, with a close analysis of the tempo of the disease to identify any potential window of opportunity for treatment. MAIN OUTCOME MEASURES Demographic data, background medical history (including predisposing factors), symptoms, signs, radiological findings, histopathological findings, treatment approach and subsequent clinical course were recorded and analysed. RESULTS Only one patient was correctly diagnosed at presentation. Only two patients were not diabetic or immunocompromised. The tempo was acute in two patients, subacute in nine patients and chronic in three patients. In the subacute and chronic cases, there was about 1 week of opportunity for treatment, from the time there was a complete orbital apex syndrome, and still a chance for saving the patient, to the time there was central nervous system invasion, which was invariably fatal. Only two patients survived - both had orbital exenteration, as well as antifungal drug treatment. CONCLUSIONS Invasive fungal sinusitis can, rarely, occur in healthy individuals and should be suspected as a possible cause of a progressive orbital apex syndrome.
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Affiliation(s)
- Matthew J Thurtell
- Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, USA.
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Sharifi G, Jalessi M, Erfanian D, Farhadi M. Sudden blindness due to isolated sphenoid sinus mucocele and retention cyst. Braz J Otorhinolaryngol 2013; 79:120. [PMID: 23503919 PMCID: PMC9450867 DOI: 10.5935/1808-8694.20130021] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Guive Sharifi
- MD, Assistant Professor of Neurosurgery, Neurosurgery Department, Loghman Hakim Hospital, Shaheed Behesht University of Medical Sciences, Tehran, Iran (Assistant Professor of Neurosurgery)
| | - Maryam Jalessi
- MD, Assistant Professor in ENT and Head and Neck surgery, ENT-Head and Neck Surgery Research Center and Department, Rasool Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran (Assistant Professor in ENT and Head and Neck surgery)
- Send correspondence to: Maryam Jalessi. ENT - Head and Neck Surgery and Research Department, Rasool Akram Hospital, Tehran University of Medical Sciences Niayesh Street. Tehran - Iran. Tel: +989123000332
| | - Dariush Erfanian
- MD, ENT and Head and Neck surgen, ENT-Head and Neck Surgery Research Center and Department, Rasool Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran (ENT and Head and Neck surgen)
| | - Mohammad Farhadi
- MD, Professor in ENT and Head and Neck surgery, ENT-Head and Neck Surgery Research Center and Department, Rasool Akram Hospital, Tehran University of Medical, Tehran, Iran (Professor in ENT and Head and Neck surgery)
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18
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Jolly K, Krishnasamy S, Buch VH, Buch HN, Mathews J. Sphenoid mucocele: an uncommon complication of a rare condition. Scott Med J 2012; 57:247. [PMID: 22917586 DOI: 10.1258/smj.2012.012080] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
A 58-year-old white woman presented with sudden onset of diplopia, headache and vomiting with a history of tiredness and lethargy over the past four to six months. She had smooth, pale, hairless skin and on examination she was found to have left-sided third and sixth nerve palsy. Laboratory tests confirmed pan-anterior hypopituitarism. Computerized tomography scan of head and magnetic resonance imaging appearances were consistent with those of a sphenoid sinus mucocoele. Following adequate replacement with hydrocortisone and thyroxine she underwent sphenoid mucocoele drainage and endoscopic left sphenoethmoidectomy. Her symptoms were relieved over the next few days and she had a near-total recovery of ophthalmoplegia over the following three months. Pituitary function tests showed partial resolution of hypopituitarism with recovery of hypothalamic-pituitary-adrenal axis and hydrocortisone therapy was withdrawn, but she continued to require thyroxine.
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Affiliation(s)
- K Jolly
- Department of Endocrinology, New Cross Hospital, Wolverhampton, England, UK.
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19
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Isolated sphenoid sinus disease: differential diagnosis and management. Curr Opin Otolaryngol Head Neck Surg 2011; 19:16-20. [PMID: 21178620 DOI: 10.1097/moo.0b013e32834251d6] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE OF REVIEW To review the current literature on isolated disease of sphenoid sinus, and to describe the various approaches to the sphenoid sinus. RECENT FINDINGS Due to its posterior location and subtle presenting symptoms, sphenoid lesions, in the past, have often been missed and were reported as rare occurrences. However, with the availability of current diagnostic modalities such as endoscopy and imaging techniques such as computed tomography (CT) and magnetic resonance imaging (MRI), diseases of the sphenoid sinus are now more frequently diagnosed. Since the introduction of endoscopic techniques in the mid 1980s, various endoscopic approaches to the sphenoid sinus, depending on the extent and type of disease, have been described. These approaches were subsequently 'extended' to remove pituitary tumours, and certain diseases of the parasellar region and the petrous apex. More recently, further extension of these approaches has led to the development of endoscopic skull base surgery, using the sphenoid sinus as the 'gateway' to the anterior, middle and the posterior cranial fossa. These approaches require a clear understanding of the anatomy of the sphenoid sinus and its surrounding regions. SUMMARY This paper presents a review of the various diseases of the sphenoid sinus and describes the approaches to the sinus with special emphasis on the transpterygoid approach to the lateral recess of the sphenoid sinus.
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