Caballero García Joel, Giol Álvarez Adolfo Michel, Morales Pérez Iosmill, Gonzales Gonzales Nélido, Hidalgo Gonzáles Adolfo, Cruz Perez Peggys Oleidis
National Institute of Oncology and Radiobiology, Head and Neck Department, Havana, Cuba.
Hnos Ameijeiras Hospital, Havana, Cuba.
Case Rep Otolaryngol. 2017;2017:7567838. doi: 10.1155/2017/7567838. Epub 2017 Aug 7.
The paranasal sinuses mucoceles are benign expansive cystic lesions that occur rarely in the sphenoid sinus and contain mucous material enclosed by cylindrical pseudostratified epithelium.
To report one case of sphenoid sinus mucocele that occurred with headache and was submitted to surgical treatment through endonasal endoscopy approach.
59-year-old male patient with history of increasing frontoorbital, bilateral, fluctuating headache and exophthalmos. There was no other associated clinical abnormality. Computed Tomography (CT) and Magnetic Resonance Image (MRI) scans confirmed an expansive mass of sphenoid sinus, suggesting mucocele. The patient was submitted to endonasal endoscopic surgery with posterior ethmoidotomy, large sphenoidotomy, and marsupialization of the lesion.
Mucoceles of the sphenoid sinus are a very rare condition with variable clinical and radiological presentation. Surgical treatment is absolutely indicated and early treatment avoids visual damage that can be permanent. Endonasal endoscopic approach with drainage and marsupialization of sphenoid sinus, using a transnasal corridor, is a safe and effective treatment modality.
鼻窦黏液囊肿是一种良性扩张性囊性病变，很少发生于蝶窦，其内含被柱状假复层上皮包裹的黏液物质。
报告1例因头痛就诊且经鼻内镜手术治疗的蝶窦黏液囊肿病例。
一名59岁男性患者，有额眶部逐渐加重的双侧波动性头痛及眼球突出病史。无其他相关临床异常。计算机断层扫描（CT）和磁共振成像（MRI）扫描证实蝶窦有一扩张性肿块，提示为黏液囊肿。该患者接受了经鼻内镜手术，包括后筛窦切开术、扩大蝶窦切开术及病变造袋术。
蝶窦黏液囊肿是一种非常罕见的疾病，其临床表现和影像学表现各异。手术治疗是绝对必要的，早期治疗可避免永久性视力损害。经鼻通道采用蝶窦引流及造袋术的鼻内镜手术方法是一种安全有效的治疗方式。
