Calcified Sphenoid Mucocele

Lidov, Mika; Behin, Fereidoon; Som, Peter M.

doi:10.1001/archotol.1990.01870060076014

Cited by 10 publications

(2 citation statements)

References 11 publications

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“…Sphenoidal mucoceles unusually contain calcifications within their wall [18]. In this case we observe a lesion occupying clival recess and histopathology confirms the calcification.…”

Section: Discussionsupporting

confidence: 53%

Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations

García

Álvarez

Pérez

et al. 2017

Case Reports in Otolaryngology

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Introduction 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. Objective To report one case of sphenoid sinus mucocele that occurred with headache and was submitted to surgical treatment through endonasal endoscopy approach. Case Report 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. Conclusion 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.

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“…Sphenoidal mucoceles unusually contain calcifications within their wall [18]. In this case we observe a lesion occupying clival recess and histopathology confirms the calcification.…”

Section: Discussionsupporting

confidence: 53%

Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations

García

Álvarez

Pérez

et al. 2017

Case Reports in Otolaryngology

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“…In human medicine, an oral sialocele is a common SG disorder which appears more often on the lower lip mucosa or mandibular vestibule and is frequently caused by accidental lower lip biting. Bone metaplasia has also been reported in individuals with a caecal appendix [23,24] and a paranasal sinus mucocele [25,26].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Findings and Surgical Management of Three Dogs Affected by Osseous Metaplasia Secondary to a Salivary Mucocele

Olimpo

Ferraris

Parisi

et al. 2023

Animals

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Saliva is an irritant of the subcutaneous tissue, thus causing the development of a non-epithelial reactive pseudocapsule. Metaplastic ossification of the pseudocapsule is a condition rarely described in the veterinary literature. The main causes of calcification are trauma, tumours, various chronic inflammatory conditions and fibrodysplasia ossificans progressiva. The aim of the present case series was to describe three dogs affected by a calcified salivary mucocele. The medical records of dogs affected by a cervical sialocele were retrospectively evaluated, and three cases met the inclusion criteria. All the dogs in this study were referred to the Veterinary Teaching Hospital (VTH) of the Department of Veterinary Sciences of the University of Turin (Turin, Italy) for a large solid mass in the intermandibular region. The diagnosis of a mucocele was confirmed clinically by centesis and by radiography or CT. Complete excision of both the pseudocyst and the ipsilateral mandibular/monostomatic sublingual salivary gland was performed in all cases. The histological report showed large areas of bone metaplasia within the pseudocapsule and chronic sialadenitis. Based on this limited case series, complete excision of the pseudocyst and a concurrent sialoadenectomy provided an effective treatment for this rare salivary mucocele disorder.

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Effect of endoscopic marsupialization of paranasal sinus mucoceles involving the orbit: a review of 27 cases

Kang

Kim

Jung

et al. 2013

Eur Arch Otorhinolaryngol

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Paranasal sinus mucoceles (PSMs) can involve the orbit because the topographic anatomies of the paranasal sinuses and orbit are interrelated. We encountered 27 patients with PSMs involving the orbit that caused orbital symptoms. In this study, we evaluated the frequent symptoms and signs of PSMs involving the orbit, and report postoperative changes of orbital symptoms including the effects on visual acuity. A retrospective chart review, radiologic evaluation, and interviews were conducted after Institutional Review Board approval was obtained. Over the past 11 years, we encountered 27 patients with PSMs involving the orbit. We classified the patients according to orbital symptoms and PSM origin, and evaluated the surgical outcomes. A total of 27 patients (17 males and 10 females) with PSMs involving the orbit were included in the present study. The mean patient age was 51.0 ± 9.7 years (range 32-90) and the mean follow-up period was 20.5 months (range 2-84). Proptosis (15/27, 56%) was the most common symptom. Other common symptoms included orbital pain (9/27, 33%), decreased visual acuity or vision loss (9/27, 33%), and diplopia (7/27, 26%). All symptoms except for vision loss were improved by endoscopic marsupialization regardless of the disease period. Four out of five patients with decreased visual acuity experienced complete recovery. The remaining patient showed partial improvement after surgery. Four patients who were blind when they initially visited the hospital did not show any improvement after surgery. For PSM patients with decreased visual acuity, we can predict that vision will improve after surgery regardless of the disease duration. However, blindness will probably not resolve after endoscopic marsupialization. Even if the orbital symptoms (except for blindness) have persisted for a long time, surgery could still produce positive outcomes.

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Calcified Sphenoid Mucocele

Abstract: Sphenoid sinus mucoceles are uncommon lesions, and may rarely contain calcifications within their wall. We describe a new appearance of this lesion--sphenoid sinus mucocele with gross calcifications within its matrix.

Cited by 10 publications

References 11 publications

Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations

Endoscopic Treatment of Sphenoid Sinus Mucocele: Case Report and Surgical Considerations

Diagnostic Findings and Surgical Management of Three Dogs Affected by Osseous Metaplasia Secondary to a Salivary Mucocele

Effect of endoscopic marsupialization of paranasal sinus mucoceles involving the orbit: a review of 27 cases

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