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Sphenoid sinus mucocele: late complication of Sphenoidotomy

Published online by Cambridge University Press:  08 March 2006

Anastasios G. Hantzakos ,
Andrew L. Dowley  and
Matthew W. Yung
Anastasios G. Hantzakos
Affiliation:
Department of Otorhinolaryngology, Ipswich Hospital NHS Trust, Ipswich, UK.
Andrew L. Dowley
Affiliation:
Department of Otorhinolaryngology, Ipswich Hospital NHS Trust, Ipswich, UK.
Matthew W. Yung
Affiliation:
Department of Otorhinolaryngology, Ipswich Hospital NHS Trust, Ipswich, UK.
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Abstract

Sphenoid sinus mucocele is an infrequent but well-recognized entity in sinus pathology. The symptoms produced by it are related to the anatomical surroundings of the sphenoid sinus. We describe a case of sphenoid sinus mucocele presenting with ipsilateral oculomotor nerve palsy 10 years after endoscopic sphenoidotomy. The patient underwent emergency endoscopic decompression of the sphenoid sinus with marsupialization of the mucocele, resulting in immediate remission of his symptoms. We conclude that the otorhinolaryngologist should be aware of such a potential complication when counselling the patient prior to endoscopic sinus surgery.

Keywords

MucoceleSphenoid Sinus, surgeryOculomotor Paralysis
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 7 , July 2003 , pp. 561 - 563
Copyright
© Royal Society of Medicine Press Limited 2003

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