Recurred Sphenoethmoidal Mucocele After Treated With Simple Endoscopic Marsupialization
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Updated: Oct 31, 2025
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
1Department of Neurology, Konyang University College of Medicine.
Abstract:
Paranasal sinus mucocele is a mostly benign disease but can cause irreversible complications depending on its location. A sphenoethmoidal mucocele (SEM) can cause compressive neuropathy due to its proximity to the optic nerve. Urgent endoscopic marsupialization is considered the treatment of choice for SEM. However, there is a scarcity regarding recurrence or operative size. Herein, the authors report a case of SEM that recurred after small endoscopic drainage. The patient was reoperated with wide cyst removal and nasal cavity ventilation expansion. Vision was partially resolved, and no recurrence was reported in the 6-month follow-up period.
Insights
Sphenoethmoidal mucoceles (SEM) can cause vision loss. Recurrence after small endoscopic drainage necessitates wider cyst removal and ventilation for improved outcomes.
Area of Science:
- Otolaryngology
- Neurosurgery
- Ophthalmology
Background:
- Paranasal sinus mucoceles are typically benign but can lead to severe complications.
- Sphenoethmoidal mucoceles (SEM) pose a risk of optic nerve compression and subsequent neuropathy.
- Endoscopic marsupialization is the standard treatment for SEM, yet data on recurrence and optimal surgical size is limited.
