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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Extensive sphenoethmoid mucocele--an endoscopic management
Kishore Chandra Prasad1, Bhasker Alva, Sampath Chandra Prasad
1Department of Otolaryngology-Head & Neck Surgery, Kasturba Medical College, Mangalore, Karnataka State, India. kishorecprasad@yahoo.com
The Journal of Craniofacial Surgery
|June 4, 2008
Summary
Sphenoethmoidal mucoceles are rare tumors that can cause significant complications. This case highlights successful endoscopic excision of a sphenoethmoidal mucocele with intracranial extension.
Area of Science:
- Otolaryngology
- Neurosurgery
- Radiology
Background:
- Sphenoethmoidal mucoceles are uncommon paranasal sinus cysts.
- They can cause bone erosion and extend into adjacent critical structures.
- Intracranial involvement necessitates specialized surgical approaches.
Observation:
- A rare case of sphenoethmoidal mucocele presented with nasal obstruction and vision loss.
- Imaging revealed bone destruction and intracranial extension into the anterior cranial fossa and temporal fossa.
- The patient experienced significant visual acuity loss.
Findings:
- Computed tomography confirmed a soft tissue mass eroding the anterior cranial fossa base.
- The mucocele extended intracranially into the parasellar temporal fossa.
- Endoscopic excision was the chosen treatment modality.
Implications:
- Endoscopic excision can be a viable alternative to transfacial approaches for extensive mucoceles.
- Proficient endoscopic sinus surgery requires detailed knowledge of nasal skull base anatomy.
- This case expands understanding of sphenoethmoidal mucocele management and endoscopic capabilities.
