Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
종설
외반신경마비를 동반한 접형동 농성점액종 1례
홍성하1, 신시옥1, 추무진1
A Case of Sphenoid Sinus Pyocele with Abducens Nerve Paralysis
Sung Hwa Hong1, See Ok Shin1, Moo Jin Choo1
1Department of Otolaryngology College of Medicine Chungbuk National University
© Copyright 1993 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Published Online: May 31, 2020
ABSTRACT
The sphenoid sinus mucocele, which was first described by John Berg in 1889, is relatively uncommon but it is the most common space-occupying lesion of the sphenoid sinus. The sphenoid sinus pyocele with intracranial extension and/or cranial nerve impairment is much rarer. As the mucocele enlarges, there is pressure resorption of the surrounding bone, exposure and stretch of the dura with pain and impairment of contigious cranial nerves. There is difficulty in diagnosis of the sphenoid sinus due to different presentation of symptoms and signs and it should be differentiated from other intracranial tumors. A careful treatment is needed because of its anatomic position.
We describe a case of sphenoid sinus pyocele with right abducens nerve paralysis cured by endoscopic sinus surgery.
Keywords: Sphenoid Sinus Pyocele; Abduscence Nerve Paralysis; Endoscopic Sinus Surgery
