Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-26T05:12:07.305Z Has data issue: false hasContentIssue false
  • English
  • Français

Sphenoid sinus mucocele: 10 cases and literature review

Published online by Cambridge University Press:  14 October 2009

S R Soon ,
C M Lim ,
H Singh  and
D S Sethi
S R Soon*
Affiliation:
Department of Otolaryngology, Singapore General Hospital, Singapore
C M Lim
Affiliation:
Department of Otolaryngology, Singapore General Hospital, Singapore
H Singh
Affiliation:
Department of Otolaryngology, Hospital Ipoh, Malaysia
D S Sethi
Affiliation:
Department of Otolaryngology, Singapore General Hospital, Singapore
*
Address for correspondence: Dr Soon Sue Rene, Medical Officer, Otolaryngology Department, Singapore General Hospital, Outram Road, 169608Singapore. Fax: 6226 2079 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Sphenoid sinus mucoceles represent only 1–2 per cent of all paranasal sinus mucoceles. Patients may present with a myriad of symptoms. Pre-operative investigations include nasoendoscopy, computed tomography and/or magnetic resonance imaging. Treatment is by endoscopic sinus surgery.

Methodology:

A retrospective review of the archives of the Singapore General Hospital otolaryngology department (1999–2006) identified 10 cases of sphenoid sinus mucocele. Patient demographics, presenting symptoms, investigations and treatment were evaluated.

Results:

The 10 patients identified (three women and seven men) had a mean age of 54.5 years (range 24–70 years). Thirty per cent of patients had a history of nasopharyngeal carcinoma treated with radiotherapy. Presenting symptoms, in order of decreasing frequency, were: ocular symptoms (50 per cent), headaches (30 per cent), nasal discharge (30 per cent) and facial pain (10 per cent). All patients underwent pre-operative computed tomography or magnetic resonance imaging. Twenty per cent of patients had evidence of intracranial involvement on imaging. All patients underwent uncomplicated transnasal sphenoidotomy and drainage of the mucocele. There was no clinical or radiological evidence of recurrence at a mean follow up of 29 months (range 4–90 months).

Conclusion:

Sphenoid sinus mucocele is a rare condition. In this study, radiation to the head and neck appeared to be a predisposing factor, and eye symptoms were the commonest presentation. Endoscopic sinus surgery is a safe and effective treatment modality.

Keywords

Sphenoid SinusMucoceleEndoscopyNasopharynxRadiation Therapy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 1 , January 2010 , pp. 44 - 47
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Kosling, S, Hinter, M, Brandt, S, Schulz, T, Bloching, M. Mucoceles of the sphenoid sinus. Eur J Radiol 2004;51:1–5CrossRefGoogle ScholarPubMed
2 Righini, CA, Darouassi, Y, Boubagra, K, Schmerber, S, Reyt, E. Sphenoid sinus mucocele of unusual aetiology and location [in French]. Rev Laryngol Otol Rhinol (Bord) 2006;127:165–70Google Scholar
3 Stankiewicz, JA. Sphenoid sinus mucocele. Arch Otolaryngol Head Neck Surg 1989;115:735–40Google Scholar
4 Sethi, DS, Lau, DP, Chan, C. Sphenoid sinus mucocele presenting with isolated oculomotor nerve palsy. J Laryngol Otol 1997;111:471–3Google Scholar
5 Har-El, G. Endoscopic management of 108 sinus mucoceles. Laryngoscope 2001;111:2131–4Google Scholar
6 Buckmuhl, U, Kratzsch, B, Benda, K, Draf, W. Paranasal sinus mucoceles: surgical management and long term results [in German]. Laryngorhinootologie 2005;84:892–8Google Scholar
7 Rejab, E, Said, H, Saim, L, Thim, L. Sphenoid sinus mucocele: a possible late complication of radiotherapy to the head and neck. J Laryngol Otol 1991;105:959–60CrossRefGoogle Scholar
8 Yokoyama, T, Inoue, S, Imamura, J, Nagamitsu, T, Jimi, Y, Katoh, S et al. Sphenoethmoidal mucoceles with intracranial extension – three case reports. Neurol Med Chir (Tokyo) 1996;36:822–8CrossRefGoogle ScholarPubMed
9 Sethi, DS. Isolated sphenoid lesions: diagnosis and management. Otolaryngol Head Neck Surg 1999;120:730–6Google Scholar
10 Hejazi, N, Witzmann, A, Hassler, W. Ocular manifestations of sphenoid mucoceles: clinical features and neurosurgical management of three cases and review of the literature. Surg Neurol 2001;56:338–43Google Scholar