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Mucoceles of Ethmoid and Sphenoid Sinus With Visual Disturbance

Mucoceles of Ethmoid and Sphenoid Sinus With Visual Disturbance Abstract • In the period from 1980 through 1989, we treated 25 (20 postoperative and five primary) cases of mucoceles of the posterior ethmoidal sinus and/or sphenoidal sinus accompanied by visual disturbances. The postoperative mucocele developed 15 to 25 years after initial surgery. Manifestations of mucoceles include headache, ophthalmalgia, double vision, and exophthalmos in addition to a decrease in visual acuity. The degree of improvement in visual acuity after an operation depends on visual acuity before the operation, the mode of development of the mucocele, and the time from onset of the disease until surgery. Opening the mucocele by an endonasal approach using an endoscope is recommended as the radical form of therapy. (Arch Otolaryngol Head Neck Surg. 1992;118:142-146) References 1. Nugent GR, Sprinkle P, Bloor BM. Sphenoid sinus mucoceles . J Neurosurg . 1970;32:443-451.Crossref 2. Close LG, O'Conner WE. Sphenoethmoidal mucoceles with intracranial extension . Otolaryngol Head Neck Surg . 1983;91:350-357. 3. Lundgren A, Olin T. Muco-pyocele of sphenoidal sinus or posterior ethmoidal cells with special reference to apex orbital syndrome . Acta Otolaryngol . 1961;53:61-79.Crossref 4. McCarthy WL, Frenkel M. Visual loss as the only symptom of sphenoid sinus mucocele . Am J Ophthalmol . 1972;74:1134-1140. 5. Ashikawa R, Kasahara Y, Shigeta Y, et al. Exophthalmos due to postoperative paranasal sinus mucocele . ORL (Tokyo) . 1972;15:671-682. 6. Matsuzaki H, Kitahara K, Horiuchi T, et al. The study on the structure of the intracanal portion of the optic nerve: its morphology and function . Acta Soc Ophthalmol Jpn . 1985;89:132-161. 7. Igai J. Rhinogenous retrobulbar neuritis: pathogenetic problems and case reports . Jpn Rev Clin Ophthalmol . 1982;76:1345-1355. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Mucoceles of Ethmoid and Sphenoid Sinus With Visual Disturbance

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1992.01880020034012
Publisher site
See Article on Publisher Site

Abstract

Abstract • In the period from 1980 through 1989, we treated 25 (20 postoperative and five primary) cases of mucoceles of the posterior ethmoidal sinus and/or sphenoidal sinus accompanied by visual disturbances. The postoperative mucocele developed 15 to 25 years after initial surgery. Manifestations of mucoceles include headache, ophthalmalgia, double vision, and exophthalmos in addition to a decrease in visual acuity. The degree of improvement in visual acuity after an operation depends on visual acuity before the operation, the mode of development of the mucocele, and the time from onset of the disease until surgery. Opening the mucocele by an endonasal approach using an endoscope is recommended as the radical form of therapy. (Arch Otolaryngol Head Neck Surg. 1992;118:142-146) References 1. Nugent GR, Sprinkle P, Bloor BM. Sphenoid sinus mucoceles . J Neurosurg . 1970;32:443-451.Crossref 2. Close LG, O'Conner WE. Sphenoethmoidal mucoceles with intracranial extension . Otolaryngol Head Neck Surg . 1983;91:350-357. 3. Lundgren A, Olin T. Muco-pyocele of sphenoidal sinus or posterior ethmoidal cells with special reference to apex orbital syndrome . Acta Otolaryngol . 1961;53:61-79.Crossref 4. McCarthy WL, Frenkel M. Visual loss as the only symptom of sphenoid sinus mucocele . Am J Ophthalmol . 1972;74:1134-1140. 5. Ashikawa R, Kasahara Y, Shigeta Y, et al. Exophthalmos due to postoperative paranasal sinus mucocele . ORL (Tokyo) . 1972;15:671-682. 6. Matsuzaki H, Kitahara K, Horiuchi T, et al. The study on the structure of the intracanal portion of the optic nerve: its morphology and function . Acta Soc Ophthalmol Jpn . 1985;89:132-161. 7. Igai J. Rhinogenous retrobulbar neuritis: pathogenetic problems and case reports . Jpn Rev Clin Ophthalmol . 1982;76:1345-1355.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Feb 1, 1992

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