We report a case of first-episode sphenoid mucocele successfully treated via transnasal endoscopic drainage and marsupialization of the mucocele. A 55 year-old female presented with persistent right-side facial numbness (in the areas of the first and second branches of the trigeminal nerve) and right-side ptosis. Computed tomography (CT) imaging and Magnetic resonance imaging (MRI) revealed opa...

OBJECTIVES To determine the patterns of disease recurrence in chronic sinusitis and to examine the influence of surgical intervention on the presence or absence of disease among sinuses at the time of revision. DESIGN Retrospective review of case series in a 56-month period. Preoperative computed tomography (CT) scans at the initial surgery and at revision were staged using the Lund and Macka...

Extramedullary plasmacytoma (EMP) is a rarely seen neoplasm of plasma cells which may be locally destructive by involving sub mucosal soft tissues of upper respiratory tract but without syste mic dissemination. It comprises less than 1% of head and neck malignities. Clinical presentation depends on tumor’s effect and its involvement site. Diagnosis is made with histo­ pathologic examination of ...

A 30‐year‐old man presented with progressive blurred vision and cosmetic facial problems within 2 years ago. Neurological examination demonstrated impaired visual acuity and constricted visual field associated with both forehead and right side craniofacial deformity in the general examination. The craniofacial computed tomography (CT) scan showed expansion and thickening in right mandible, ante...

The retrospective study was conducted in Nishtar Medical Hospital & Bakhtawar Amin from January 2021 to 2022 evaluate CT findings of bone erosion and the implication surgical treatment patients with AFRS. on a total 140 patients. All underwent sinus examination before start treatment. Experienced neuroradiologist examined characteristics erosion. Data were recorded, including disease locati...

The differential diagnosis for expansile masses of the sphenoid sinuses includes both benign and malignant lesions. We herein present a case of a 79-year-old female who presented with chronic epistaxis and an expansile soft tissue mass centered in the sphenoid sinus with erosion of the skull base. Endoscopic resection of the lesion was performed, with histopathological examination revealing org...

A 68-year-old woman developed Cushingoid features three months prior to admission. She was found to have a markedly elevated plasma ACTH-cortisol level. Magnetic resonance imaging (MRI) revealed a mass in the left sphenoidal sinus, which had become enlarged to a point where it could not be removed by transsphenoidal surgery. We decided to proceed with radiation therapy to shrink the tumor. Howe...

The interclinoid ligaments between the anterior, middle and posterior clinoid process are occasionally ossified. A bony bridge between the anterior and middle clinoid process and another between the anterior and posterior clinoid process was found in a dry specimen of one adult sphenoid bone. It was found bilaterally, like a ring around the sella turcica. The occasional presence of this ossifie...

A 74-year-old immunocompetent man admitted for severe retro-orbital headache was diagnosed with isolated sphenoiditis. At the time of scheduled surgery, the patient was mildly obtunded, and a head CT revealed a temporal lobe abscess. The patient underwent a left temporal craniectomy and a bilateral endoscopic sphenoid sinusotomy, which revealed gross fungal debris. The patient made a full recov...