Bahadir O, Arslan S, Arslan E, Türk A, Ural A
Department of Otorhinolaryngology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.
B-ENT. 2011;7(1):65-8.
Mucoceles of the sphenoid sinus are rare and may remain undiagnosed until symptoms arise due to the compression of surrounding structures. Because of its close proximity to the sphenoid sinus, the optic nerve may be compressed and visual impairment may result.
We report on a case of sphenoid sinus mucocele presenting with unilateral visual loss as the only symptom in a 72-year-old patient. Physical examination, computerised tomography, magnetic resonance imaging, bacteriological cultures and histopathological evaluation were used to make the diagnosis. The patient underwent endoscopic sinus surgery for drainage and marsupialisation of the mucocele. Intravenous ceftriaxone was administered over the following three days, and the patient was discharged on the third post-operative day. In the post-operative period, a slight improvement in vision was observed.
Early diagnosis and prompt surgical intervention are imperative in patients with sphenoid sinus mucoceles presenting with acute visual loss.
蝶窦黏液囊肿较为罕见，在因周围结构受压出现症状之前可能一直未被诊断出来。由于视神经与蝶窦距离很近，可能会受到压迫并导致视力损害。
我们报告一例72岁患者，其蝶窦黏液囊肿仅以单侧视力丧失为唯一症状。通过体格检查、计算机断层扫描、磁共振成像、细菌培养和组织病理学评估进行诊断。该患者接受了内镜鼻窦手术，以引流黏液囊肿并使其袋形缝合。术后连续三天静脉注射头孢曲松，患者在术后第三天出院。术后观察到视力略有改善。
对于出现急性视力丧失的蝶窦黏液囊肿患者，早期诊断和及时的手术干预至关重要。
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