Isolated sphenoid sinus disease is difficult to diagnose because of the obscure and nonspecific initial findings of the disease. Because of the complex anatomic relations of the sphenoid, the disease often manifests itself through the neuroophthalmologic complications. We have recently experienced a case of intrasphenoidal symptomatic Rathke's cleft cyst, which was managed by endoscopic transnasal sphenoidotomy approach with good results. The endoscopic approach affords excellent visualization and sufficient exposure of the sinus cavity, and allows easy postoperative inspection of the sphenoid sinus.
Sphenoid Sinus*

The anterior clinoid process, the medial end of the lesser wing of the sphenoid bone, may be pneumatized by sphenoid sinus as part of normal development. The cases of sphenoid mucocele described in literature are sparse, especially located in anterior clinoid that is a bone structure seldom presenting pneumatization. Therefore generally showing no anatomic substrate justifying the development and the growth of a mucocele, have to be considered really exceptional. We present three cases of anterior clinoid process mucocele which were managed by a endoscopic transnasal transsphenoidal approach.
Mucocele* ; Sphenoid Bone ; Sphenoid Sinus

The fungal ball usually occurs in a single sinus, most frequently in the maxillary sinus, and multiple sinus localization has rarely been reported? Recently, the authors experienced a rare case of multiple fungal balls involving three sinuses that were not contiguous, the bilateral maxillary sinuses and right sphenoid sinus. The patient had a history of endodontic treatment. We report this rare case with a literature review.
Humans ; Maxillary Sinus ; Sphenoid Sinus

No abstract available.
Mucocele* ; Sphenoid Sinus*

We report a case of intrasellar arachonoid cyst with extension to the sphenoid sinus, which is a very uncommon lesion. Preoperatively, we studied the PNS CT & Brain MRI and these images showed a large cyst in the widened sellar turcica with extension to the sphenoid anterior wall. We planned endoscopic surgery via transnasal-transphenidal approach. The endoscopic surgery was performed with no complication. We reviewed the literature and discussed the treatment of the intrasellar arachnoid cyst.
Arachnoid ; Brain ; Sphenoid Sinus

No abstract available.
Mucocele* ; Sphenoid Sinus*

Osteoma is the most common benign tumour of the nose and paranasal sinuses. However, involvement of the sphenoid sinus by osteoma is rare. Most of the time, patients with paranasal sinus osteoma are asymptomatic. However, symptoms may present, depending on the location and extension of the tumour. We report a case of a patient with sphenoethmoidal osteoma found incidentally on imaging, with evidence of impingement onto the optic nerve at the optic canal. However, the patient was asymptomatic. He was surgically treated using the endoscopic transnasal approach.
Osteoma ; Sphenoid Sinus

No abstract available.
Mucocele* ; Sphenoid Sinus*

A rare case of sphenoid sinus mucopyocele with visual impairment and opthalmoplegia is presented. Clinical presentations including headache, opthalmoplegia, visual disturbance and ptosis are caused by local extension of the mucopyocele of the sphenoid sinus. The authors report a mucrpyocele involving the sphenoid sinus with a brief review of the literature.
Headache ; Sphenoid Sinus* ; Vision Disorders

Mucoceles of the sphenoid sinus are relatively rare and it is difficult to dignose them with the history of the illness or with the physical examination alone. However, if it is not treated rapidly, it may give rise to visual loss, extraocular motor disturbance or other ophthalmic sequalae. Recently, we experienced a case of mucocele originating from the sphenoid sinus, which was managed by functional endonasal sinus surgery-marsupialization. We obtained satisfactory results after steroid treatments were applied on the post-operative visual disturbance of the left eye and the pre-operative occular motion disturbance of the right eye.
Mucocele* ; Physical Examination ; Sphenoid Sinus