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The sphenoid sinus mucocoele

Published online by Cambridge University Press:  29 June 2007

S. L. Sellars
Affiliation:
Department of Otolaryngology and Department of Neurosurgery, Groote Schuur Hospital and The University of Cape Town, Cape Town, South Africa.
J. C. De Villiers
Affiliation:
Department of Otolaryngology and Department of Neurosurgery, Groote Schuur Hospital and The University of Cape Town, Cape Town, South Africa.

Summary

Mucocoeles, mucopyocoeles and empyemas of the sphenoid sinus are rare, but potentially dangerous. Their occurrence is accompanied by a multitude of clinical symptoms and signs, which confuse the diagnosis and may lead to its mismanagement. The treatment of this condition is surgical and in its early states essentially simple.

At Groote Schuur Hospital over a 6-year period (1972–1977) 6 patients with mucocoeles, mucopyocoeles or abscesses of the sphenoid sinuses have been seen. Their clinical presentation, radiological findings and surgical treatment are described and discussed. Correctly managed this condition should completely resolve; however, there is a mortality associated with delay or misdiagnosis.

Type
Clinical records
Copyright
Copyright © JLO (1984) Limited 1981

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