Hantzakos Anastasios G, Dowley Andrew L, Yung Matthew W
Department of Otorhinolaryngology, Ipswich Hospital NHS Trust, Ipswich, UK.
J Laryngol Otol. 2003 Jul;117(7):561-3. doi: 10.1258/002221503322113021.
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.
蝶窦黏液囊肿是鼻窦病理学中一种罕见但已被充分认识的病变。它所产生的症状与蝶窦的解剖学周围结构有关。我们描述了一例在内镜蝶窦切开术后10年出现同侧动眼神经麻痹的蝶窦黏液囊肿病例。该患者接受了蝶窦紧急内镜减压及黏液囊肿造袋术，症状立即缓解。我们得出结论，耳鼻喉科医生在为患者进行内镜鼻窦手术前咨询时应意识到这种潜在并发症。
