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Importance of intra-operative imaging for sphenoid sinus disease

Published online by Cambridge University Press:  12 July 2007

R Philip ,
N Prepageran  and
V Waran
R Philip
Affiliation:
Department of ENT, University Malaya Medical Center, Kuala Lumpur, Malaysia
N Prepageran
Affiliation:
Department of ENT, University Malaya Medical Center, Kuala Lumpur, Malaysia
V Waran
Affiliation:
Department of Neurosurgery, University Malaya Medical Center, Kuala Lumpur, Malaysia.
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Abstract

Introduction: Sphenoid sinus mucoceles comprise 1–2 per cent of paranasal sinus mucoceles. Endoscopic marsupialisation is currently the treatment of choice.

Case report: We present a patient with a sphenoid mucocele whose sphenoid sinus cavity appeared normal on endoscopy due to a horizontal plate of accessory septa, below the sphenoid ostia. The mucocele was in the inferior portion of the sinus below the septa, expanding the sinus inferiorly.

Conclusion: Intra-operative imaging was essential in the successful management of this patient's condition. Although endoscopy offers direct visualisation, endoscopic surgeons must be aware of the anatomical variations in this region. Intra-operative imaging modalities such as image guidance systems and image intensifiers are often vital for safe surgery.

Keywords

Sphenoid MucoceleImage Guidance SystemImage IntensifierEndoscopy
Type
Online Only Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 9 , September 2007 , pp. 1 - 2 , e14
Copyright
2007 JLO (1984) Limited

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