Sphenoid Sinus Mucoceles – Our Experience

Background: Mucoceles of the sphenoid sinus act as benign lesions and can result in bony erosion from within its continuity of the sinus to the intracranial and orbital spaces. Disease restricted to the sphenoid sinus is rare and often manifests with nonspecific or subtle signs and symptoms. Early and accurate diagnosis of sphenoid sinus disease may thus be difficult. Otolaryngologists must have a thorough knowledge of the spectrum of sphenoid sinus disease and the radiologic characteristics to manage these patients properly. The increased use of endoscopy in routine examination and advances in techniques of imaging, this area will result in the more frequent diagnosis of these lesions. Methods: We herewith report 10 cases of chronic rhinosinusitis with sphenoidal mucocele with or without polyposis. All patients underwent detailed history taking, and a thorough examination followed by DNE and CECT of the Nose and PNS. All patients underwent functional endoscopic sinus surgery and swab was sent for KOH and HPE was done for biopsy. With regular follow up on 1st month , 6th month and 12th month showing no evidence of recurrence to date. Conclusion: variable nonspecific symptoms and the complex anatomy of the sphenoid sinus tend to delay the diagnosis resulting in a poor prognosis. Keywords: Mucocele, sphenoid, polyposis.