Department of Ophthalmology-Otolaryngology-Stomatology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
Department of Surgery, Faculty of Health Sciences, Buea, Cameroon.
Pan Afr Med J. 2021 Jul 13;39:198. doi: 10.11604/pamj.2021.39.198.22886. eCollection 2021.
A mucocele is a cystic and expansive lesion of the sinus cavities. It is uncommon in the sphenoid sinus and its management is quite challenging especially in low to middle income countries like Cameroon. A 43-years-old female was referred to us by a neurologist for chronic headache and visual disturbances. The pain was unresponsive to analgesics. Physical examination was non-remarkable and a head CT scan realized showed a cyst-like lesion in the sphenoid sinus cavity. Surgical endoscopic treatment was proposed and realized with basic endoscopic instruments, consisting of opening the cavity with drainage of the mucocele. A large opening was made on the anterior wall of the sphenoid sinus, in order to ensure continuous drainage and prevent a recurrence. Sphenoid sinus mucocele is a rare condition, and its diagnosis can be difficult. Confirmation requires specific imaging and treatment is presently well established, but it can be managed with basic tools.
黏液囊肿是鼻窦腔的囊性和膨胀性病变。它在蝶窦中并不常见，其治疗极具挑战性，尤其是在像喀麦隆这样的中低收入国家。一位 43 岁的女性因慢性头痛和视力障碍被神经科医生转介给我们。疼痛对止痛药没有反应。体格检查无明显异常，头部 CT 扫描显示蝶窦腔内有一个囊肿样病变。提出并使用基本的内窥镜器械进行了手术内镜治疗，包括打开腔室以排出黏液囊肿。在前壁的蝶窦上做了一个大开口，以确保持续引流并防止复发。蝶窦黏液囊肿是一种罕见的病症，其诊断可能具有一定难度。需要特定的影像学检查来确认，目前已经确立了有效的治疗方法，但可以使用基本工具进行治疗。
