Endoscopic endonasal drainage of sphenoid sinus mucocele in a child

Year 2015, Volume: 20 Issue: 1, 49 - 52, 02.06.2015

Khadijah Mohd Nor Balwant Gendeh

Abstract

The sphenoid sinus is the least common site for mucocele of all paranasal sinuses. It is very rare in children, especially in those younger than 12 years when pneumatization of the sphenoid sinus is completed. We report a case of histologically proven sphenoid mucocele in a 8 year old child. The child presented with an acute onset of significant headache and vomiting. Also he had chronic problem of visual impairment. His vision gradually improved after endoscope endonasal sphenoidotomy and drainage of the sinus content which resolved all his symptoms. The rareness of paranasal sinus mucocele in children especially sphenoid occurrence prompted the authors to discuss the aetiology radiological imaging findings and the role of endoscopic endonasal sphenoidotomy and review of literature.

Keywords

Sphenoid sinus, Mucocele, Children, Endoscopic endonasal sphenoidotomy

References

• Lund VJ. Anatomical considerations in the aetiology of fronto-ethmoidal mucoceles. Rhinology 1987; 25: 83-88.
• Namavar E, Loh JCN, Gendeh BS. Paranasal mucocele: endoscopic marsupalization and surgical outcome. The Egyptican J. Otolaryngol 2012; 28: 95- 97.
• Levine H. The sphenoid sinus, the neglected nasal sinus. Arch Otolaryngol. 1978; 104: 585-587.
• Sethi DS, Lau DP, Chan C. Sphenoid sinus mucocoele presenting with isolated oculomotor nerve palsy. J Laryngol Otol 1997; 111: 471-473.
• Friedmann G, Harrison S. Mucocoele of the sphenoidal sinus as a cause of recurrent oculomotor nerve palsy. J Neurol Neurosurg Psychiatry 1970; 33: 172-179.
• Sharifi G, Jalessi M, Erfanian D, Farhadi M. English, Portuguese: Sudden blindness due to isolated sphenoid sinus mucocele and retention cyst. Braz J Otorhinolaryngol 2013; 79: 120.
• Lloyd G, Lund VJ, Savy L, Howard D. Optimum imaging for mucoceles. J Laryngol Otol 2000; 114: 233-236.